Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia

Background: Acute Coronary Syndrome (ACS) is a severe manifestation of coronary artery disease, classified into unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). In-hospital mortality in patients with ACS remains hi...

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Autores principales:	Dennis Bonang Tessy, Miftah Pramudyo, Charlotte Johanna Cool
Formato:	article
Lenguaje:	EN
Publicado:	Universitas Padjadjaran 2021
Materias:	acute coronary syndrome, characteristics, in-hospital mortality Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1009317e2fec452bb77b50dcbb4ebc4f
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spelling	oai:doaj.org-article:1009317e2fec452bb77b50dcbb4ebc4f2021-11-17T05:17:31ZCharacteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia2337-433010.15850/amj.v8n2.2281https://doaj.org/article/1009317e2fec452bb77b50dcbb4ebc4f2021-06-01T00:00:00Zhttp://journal.fk.unpad.ac.id/index.php/amj/article/view/2281https://doaj.org/toc/2337-4330Background: Acute Coronary Syndrome (ACS) is a severe manifestation of coronary artery disease, classified into unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). In-hospital mortality in patients with ACS remains high despite the advancement of therapy. This study aimed to evaluate the characteristics of in-hospital mortality among ACS patients in West Java, Indonesia. Methods: This descriptive cross-sectional study analyzed retrospective secondary data of ACS patients who died during hospitalization in the period of July 2018 to June 2019 that were recorded in the ACS registry. Results: A total of 17 patients died during hospitalization in the study period. The mean age was 64.1 years, predominantly female (n=10). The prevalent diagnoses were STEMI (n=11) and NSTEMI (n=6). Interestingly, no patients had died from UA. Hypertension was the most frequent risk factor (11 of 17). Mortality among Killip Class I, II, III, and IV were 7, 5, 1, and 4 patients, respectively. The number of patients who died after underwent Percutaneous Coronary Intervention (PCI) was lower (n=6) than those who did not undergo PCI or those without revascularization (n=11). Conclusions: The incidence of in-hospital mortality with acute coronary syndrome is high in females, STEMI diagnosis, Killip Class I, and no revascularization.Dennis Bonang TessyMiftah PramudyoCharlotte Johanna CoolUniversitas Padjadjaranarticleacute coronary syndrome, characteristics, in-hospital mortalityMedicineRMedicine (General)R5-920ENAlthea Medical Journal, Vol 8, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute coronary syndrome, characteristics, in-hospital mortality Medicine R Medicine (General) R5-920
spellingShingle	acute coronary syndrome, characteristics, in-hospital mortality Medicine R Medicine (General) R5-920 Dennis Bonang Tessy Miftah Pramudyo Charlotte Johanna Cool Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia
description	Background: Acute Coronary Syndrome (ACS) is a severe manifestation of coronary artery disease, classified into unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). In-hospital mortality in patients with ACS remains high despite the advancement of therapy. This study aimed to evaluate the characteristics of in-hospital mortality among ACS patients in West Java, Indonesia. Methods: This descriptive cross-sectional study analyzed retrospective secondary data of ACS patients who died during hospitalization in the period of July 2018 to June 2019 that were recorded in the ACS registry. Results: A total of 17 patients died during hospitalization in the study period. The mean age was 64.1 years, predominantly female (n=10). The prevalent diagnoses were STEMI (n=11) and NSTEMI (n=6). Interestingly, no patients had died from UA. Hypertension was the most frequent risk factor (11 of 17). Mortality among Killip Class I, II, III, and IV were 7, 5, 1, and 4 patients, respectively. The number of patients who died after underwent Percutaneous Coronary Intervention (PCI) was lower (n=6) than those who did not undergo PCI or those without revascularization (n=11). Conclusions: The incidence of in-hospital mortality with acute coronary syndrome is high in females, STEMI diagnosis, Killip Class I, and no revascularization.
format	article
author	Dennis Bonang Tessy Miftah Pramudyo Charlotte Johanna Cool
author_facet	Dennis Bonang Tessy Miftah Pramudyo Charlotte Johanna Cool
author_sort	Dennis Bonang Tessy
title	Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia
title_short	Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia
title_full	Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia
title_fullStr	Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia
title_full_unstemmed	Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia
title_sort	characteristics of in-hospital mortality among patients with acute coronary syndrome: a single-center study in west java, indonesia
publisher	Universitas Padjadjaran
publishDate	2021
url	https://doaj.org/article/1009317e2fec452bb77b50dcbb4ebc4f
work_keys_str_mv	AT dennisbonangtessy characteristicsofinhospitalmortalityamongpatientswithacutecoronarysyndromeasinglecenterstudyinwestjavaindonesia AT miftahpramudyo characteristicsofinhospitalmortalityamongpatientswithacutecoronarysyndromeasinglecenterstudyinwestjavaindonesia AT charlottejohannacool characteristicsofinhospitalmortalityamongpatientswithacutecoronarysyndromeasinglecenterstudyinwestjavaindonesia
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Characteristics of In-Hospital Mortality among Patients with Acute Coronary Syndrome: A Single-Center Study in West Java, Indonesia

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