Epidemiology and risk factors of patients with types of acute coronary syndrome presenting to a tertiary care hospital in Sri Lanka

Ralapanawa, Udaya; Kumarasiri, P. V. R.; Jayawickreme, Kushalee Poornima; Kumarihamy, Prabhashini; Wijeratne, Y. M. T. Y.; Ekanayake, Madhushanka; Dissanayake, C. S.

doi:10.1186/s12872-019-1217-x

Cited by 53 publications

(52 citation statements)

References 27 publications

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“…Another significant association was found between HTN and occurrence of NSTEMI. This is supported by findings of Udaya Ralapanawa et [10] who also found higher rates HTN in Significant association was found between smoking and occurrence of STEMI and significant association was found between Hypertension and occurrence of NSTEMI.…”

Section: N (Nstemi)supporting

confidence: 82%

“…analysis of the risk factors with outcomes of ACS our study observed significant association of smoking with STEMI. The findings [10] support this observation where they also found significant association between smoking and STEMI. Another significant association was found between HTN and occurrence of NSTEMI.…”

Section: N (Nstemi)supporting

confidence: 78%

“…On statistical analysis of the risk factors with outcomes of ACS our study observed significant association of smoking with STEMI. The findings of Udaya Ralapanawa et al [10] support this observation where they also found significant association between smoking and STEM Another significant association was found between HTN and occurrence of NSTEMI. This is supported by findings of Udaya Ralapanawa et al [10] who also found higher rates HTN in patients with NSTEMI.…”

Section: Discussionmentioning

confidence: 53%

“…In this study out of total 100 cases of ACS; 45% had NSTEMI, 35% had STEMI and 20% had r study conducted by [10] observed that 37.7% had unstable angina, 36.7% NSTEMI and another study by KJ [11] NSTEMI/UA was seen in 44.02% and STEMI in 55.98%. analysis of the risk factors with outcomes of ACS our study observed significant association of smoking with STEMI.…”

Section: N (Nstemi)mentioning

confidence: 56%

“…In this study out of total 100 cases of ACS; 45% had NSTEMI, 35% had STEMI and 20% had unstable angina. Another study conducted by Udaya Ralapanawa et al [10] observed that 37.7% had unstable angina, 36.7% NSTEMI and 25.7% had STEMI. Still in another study by KJ Raihanathul Misiriya et al [11] NSTEMI/UA was seen in 44.02% and STEMI in 55.98%.…”

Section: Discussionmentioning

confidence: 93%

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Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Attri

Kaur

Sibia

et al. 2020

JAMMR

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Introduction: CAD is the most common cause of mortality in India. It is a common multifarious public health crisis today and a leading cause of morbidity and mortality in both developing and developed countries. Hence, understanding the predominant risk factors among the Indian population is important. Materials and Methods: This was a hospital based age and sex matched case control study, carried out at Government Medical College and Rajindra Hospital Patiala. A total of 100 patients of Acute coronary syndrome were studied. Patients and controls were enquired about the presence of cardiometabolic risk factors and the significance of association of these risk factors with the occurrence of Acute coronary syndrome was given by p value of <0.05. Results: Majority of the cases were in the age group 61-70 years (32%) with male to female ratio of 1.25:1. Significant association was found between ACS and risk factors like smoking, positive family history of IHD, hypertension, diabetes, dyslipidemia, waist hip ratio and body mass index. Overall, most common outcome of ACS in the present study was NSTEMI (45%) followed by STEMI (35%) followed by Unstable angina (20%). Conclusion: Significant association was found between smoking and occurrence of STEMI and significant association was found between Hypertension and occurrence of NSTEMI.

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Section: N (Nstemi)supporting

confidence: 82%

Section: N (Nstemi)supporting

confidence: 78%

Section: Discussionmentioning

confidence: 53%

Section: N (Nstemi)mentioning

confidence: 56%

Section: Discussionmentioning

confidence: 93%

See 3 more Smart Citations

Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Attri

Kaur

Sibia

et al. 2020

JAMMR

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Clinical and epidemiological profile of ST‐segment elevation myocardial infarction patients in a megacity of west of Iran

Janjani,

Motevaseli,

Salimi

et al. 2023

Health Science Reports

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Background and Aims: Low-and middle-income nations account for at least three-quarters of cardiovascular disease deaths worldwide. This study aimed to obtain real knowledge about ST segment elevation myocardial infarction (STEMI) patients and provide the context for developing a principles for care quality improvement.Method: This cross-sectional study was conducted from July 2018 through December 2019. The study sample consisted of1169 eligible patients based on inclusion criteria. The data were collected using the standard EROP and three specialized, trained questionnaires. The collected data were checked by the quality control officer and analyzed using Stata Version 14.Results: Patient baseline characteristics showed that body mass index, low-density lipoprotein, high-density lipoprotein, total cholesterol, and triglyceride levels were higher in women. Also, females recorded a considerable history of diabetes mellitus, hypertension, and hypercholesterolemia compared to men. The results also showed that most men were smokers (46.80%). Aspirin (94.27%), statins (91.48%), and clopidogrel (90.68%) were the common medications used at hospital discharge for patients. Conclusion:The present study suggests that identifying and managing modifiable risk factors can improve cardiovascular disease outcomes. Also, considering the early identification of STEMI patients with new therapies can effectively decrease the rate of cardiovascular disease and its attributed health outcomes.

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Management and clinical outcome of myocardial infarction in Kosovo: A cross‐sectional study

Batalli,

Henein,

Poniku

et al. 2024

Health Science Reports

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Background and AimsMyocardial infarction (MI) is a major cause of mortality worldwide, irrespective of its presentation as non‐ST‐segment elevation MI (NSTEMI) or ST‐segment elevation MI (STEMI). The objective of this study was to assess national results of management and clinical outcome of acute MI patients in Kosovo.MethodsThis cross‐sectional descriptive study, conducted at the Clinic of Cardiology of the University Clinical Center of Kosovo, in Prishtina, included all patients hospitalized with acute MI over a period of 7 years (2014‐2020). The primary outcome of the study was in‐hospital mortality.ResultsAmong 7353 admitted patients with acute MI (mean age 63 ± 12 years, 29% female) and according to the final diagnosis, 4436 (59.4%) patients had STEMI, and 2987 (40.6%) NSTEMI. More patients with STEMI received primary percutaneous intervention (PPCI) than those with NSTEMI (50% vs. 41%, p < 0.001). In‐hospital mortality was higher in no PPCI patients compared to PPCI both in NSTEMI (10.7% vs. 2.6%, p < 0.001) and STEMI (20.9% vs. 6.8%, p < 0.001). Age ≥65 years [0.399 (0.267–0.597), p ˂ 0.001], hemoglobin level [0.889 (0.815–0.970), p = 0.008], STEMI [0.491 (0.343–0.704), p ˂ 0.001], lack of PPCI [2.636 (1.798–3.866), p ˂ 0.001], cardiogenic shock [0.002 (0.001–0.006), p < 0.001], reduced left ventricular ejection fraction (LV EF) [0.966 (0.951–0.980), p < 0.001], and heart rate at admission [1.009 (1.000–1.017), p = 0.047], independently predicted mortality. In STEMI, cardiogenic shock (p ˂ 0.001), lack of PPCI (p = 0.006), female gender (p = 0.01), and low LV EF (p = 0.04) predicted mortality but age ≥65 years (p = 0.02), female gender (p = 0.02), low LV EF (p = 0.007), and low hemoglobin (p = 0.04) predicted mortality in NSTEMI.ConclusionBetween 2014 and 2020, half of patients with acute MI were not treated with PPCI, who had high mortality, particularly when presenting with STEMI. Age, cardiogenic shock, anemia, low LV EF, STEMI and no PPCI independently predicted mortality. Cardiogenic shock and lack of PPCI independently predicted mortality, only in STEMI.

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Epidemiology and risk factors of patients with types of acute coronary syndrome presenting to a tertiary care hospital in Sri Lanka

Cited by 53 publications

References 27 publications

Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Metabolic Risk Factors and Outcomes in Acute Coronary Syndrome

Clinical and epidemiological profile of ST‐segment elevation myocardial infarction patients in a megacity of west of Iran

Management and clinical outcome of myocardial infarction in Kosovo: A cross‐sectional study

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