Evaluating Mortality Rate and Associated Parameters in Patients with Acute Coronary Syndrome
Alireza Gheini1, Ali Pooria1, Afsoun Pourya2
1Department of Cardiology, Lorestan University of Medical Sciences, Khorramabad, Iran.
Insights
This study identified key risk factors for mortality in acute coronary syndrome (ACS) patients. Advanced age, low blood pressure, and winter season were linked to increased ACS death risk.
Area of Science:
- Cardiology
- Public Health
Background:
- Acute coronary syndrome (ACS) represents a significant global cause of mortality.
- ACS encompasses conditions like unstable angina and acute myocardial infarction (AMI).
Purpose of the Study:
- To investigate the clinical characteristics of patients who succumbed to acute coronary syndrome.
- To identify predictors of mortality in ACS cases.
Main Methods:
- A cross-sectional study involving 1000 patients diagnosed with ACS.
- Evaluation of patient data including demographics, diagnosis, ECG, symptoms, risk factors, and clinical parameters.
- Statistical analysis using SPSS software.
Main Results:
- The overall mortality rate in the study cohort was 7.1%.
- Acute myocardial infarction (AMI) was the most frequent diagnosis among deceased patients.
- Factors associated with increased mortality included low blood pressure, advanced age, elevated pulse rate, and presentation during fall/winter.
- ST deviation on ECG was a common finding, with most deaths occurring within 24 hours of admission.
Conclusions:
- The study highlights specific risk factors contributing to ACS mortality.
- Implementing timely and advanced therapeutic interventions may decrease mortality rates in ACS patients.
Background:
Acute coronary syndrome (ACS) is one of the leading causes of mortality worldwide and is characterized by unstable angina or acute myocardial infarction. The aim of this study is to evaluate the clinical characteristics of patients who died of ACS.
Methods:
In this cross-sectional study, 1000 patients presenting ACS were included. Data and records of these patients were evaluated for parameters such as; deceased status, age, gender, diagnosis, ECG, common complaints, associated risk factors, Killip class, pulse, blood pressure, geographic setup (urban or rural), complications and season in which the disease was presented. Statistical analysis was performed on the data obtained using SPSS-win software.
Results:
The mortality rate among ACS patients in our study was 7.1%. Of these patients, AMI was the most prevalent diagnosis and chest pain was the most common complaint. Furthermore, low blood pressure, advanced age, increased pulse rate and fall/winter season were associated with the increased risk of mortality. ST deviation was the most seen ECG finding and most of the mortalities were within the 24 hours of admission.
Conclusion:
Our study reports risk factors associated with mortality in ACS patients. Advanced and timely therapeutic measurements are likely to reduce the incidence of mortality in these patients.
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