ASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMI

Objective: To evaluate the correlation between thrombolytic in Myocardial Infarction risk score with the severity of coronary lesions found by coronary angiography during hospitalization in patients with non-ST elevation Acute coronary syndrome. Study Design: Cross sectional study. Place and D...

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Autores principales: Saleha Abbas, Abdul Hameed Siddiqui, Ammar Cheema, Ayesha Abbas, Syed Khawar Abbas Jaffri, Sadaf Khan, Anam Fatima Janjua, Sania Ashraf, Farhan Tuyyab
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Publicado: Army Medical College Rawalpindi 2020
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spelling oai:doaj.org-article:10eec795fd8c4b03a4861f71e604b1912021-12-02T19:18:03ZASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMIdoi.org/10.51253/pafmj.v70iSuppl-4.60250030-96482411-8842https://doaj.org/article/10eec795fd8c4b03a4861f71e604b1912020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6025https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate the correlation between thrombolytic in Myocardial Infarction risk score with the severity of coronary lesions found by coronary angiography during hospitalization in patients with non-ST elevation Acute coronary syndrome. Study Design: Cross sectional study. Place and Duration of Study: Adult Cardiology department, Armed Forces Institute of Cardiology & National Institute of Heart Diseases, Rawalpindi from Jul to Dec 2018. Methodology: Patients who had chest pain suggestive of angina or anginal equivalent symptoms and diagnosis of Acute Coronary Syndrome (ACS) were included in the study. Patients with Acute Coronary Syndrome were risk stratified with Thrombolysis In Myocardial Infarction risk scores and were further evaluated with coronary angiograms to assess the extent of coronary artery disease. Results: Total 115 patients were recruited in the study with mean age 57.08 ± 10.2 years. There were 87 (75.7%) male patients while 28 (24.3%) female patients. The most common co-morbidity was hypertension 66 (57.4%) followed by diabetes mellitus 39 (33.9%) and smoking 25 (21.7%). 71 (61.7%) patients had one angina episode in the last 2 hours while 34 patients had two angina episodes in the last 2 hours. Cardiac biomarkers were raised in 36 (31.3%) patients. 60 (52.2%) used aspirin in the last 7 days. Chi-square test was applied between Thrombolysis In Myocardial Infarction Score and Coronaries lesions, which showed statistically significant results (p<0.001). Conclusion: Our study demonstrates that among patients presenting with Non-STE Acute coronary syndrome i.e. unstable angina /NSTEMI who are referred for coronary angiography, clinical risk stratification according......Saleha AbbasAbdul Hameed SiddiquiAmmar CheemaAyesha AbbasSyed Khawar Abbas JaffriSadaf KhanAnam Fatima JanjuaSania AshrafFarhan TuyyabArmy Medical College Rawalpindiarticlecoronary artery diseasenstemithrombolysis in myocardial infarctionunstable anginaMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 787-791 (2020)
institution DOAJ
collection DOAJ
language EN
topic coronary artery disease
nstemi
thrombolysis in myocardial infarction
unstable angina
Medicine
R
Medicine (General)
R5-920
spellingShingle coronary artery disease
nstemi
thrombolysis in myocardial infarction
unstable angina
Medicine
R
Medicine (General)
R5-920
Saleha Abbas
Abdul Hameed Siddiqui
Ammar Cheema
Ayesha Abbas
Syed Khawar Abbas Jaffri
Sadaf Khan
Anam Fatima Janjua
Sania Ashraf
Farhan Tuyyab
ASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMI
description Objective: To evaluate the correlation between thrombolytic in Myocardial Infarction risk score with the severity of coronary lesions found by coronary angiography during hospitalization in patients with non-ST elevation Acute coronary syndrome. Study Design: Cross sectional study. Place and Duration of Study: Adult Cardiology department, Armed Forces Institute of Cardiology & National Institute of Heart Diseases, Rawalpindi from Jul to Dec 2018. Methodology: Patients who had chest pain suggestive of angina or anginal equivalent symptoms and diagnosis of Acute Coronary Syndrome (ACS) were included in the study. Patients with Acute Coronary Syndrome were risk stratified with Thrombolysis In Myocardial Infarction risk scores and were further evaluated with coronary angiograms to assess the extent of coronary artery disease. Results: Total 115 patients were recruited in the study with mean age 57.08 ± 10.2 years. There were 87 (75.7%) male patients while 28 (24.3%) female patients. The most common co-morbidity was hypertension 66 (57.4%) followed by diabetes mellitus 39 (33.9%) and smoking 25 (21.7%). 71 (61.7%) patients had one angina episode in the last 2 hours while 34 patients had two angina episodes in the last 2 hours. Cardiac biomarkers were raised in 36 (31.3%) patients. 60 (52.2%) used aspirin in the last 7 days. Chi-square test was applied between Thrombolysis In Myocardial Infarction Score and Coronaries lesions, which showed statistically significant results (p<0.001). Conclusion: Our study demonstrates that among patients presenting with Non-STE Acute coronary syndrome i.e. unstable angina /NSTEMI who are referred for coronary angiography, clinical risk stratification according......
format article
author Saleha Abbas
Abdul Hameed Siddiqui
Ammar Cheema
Ayesha Abbas
Syed Khawar Abbas Jaffri
Sadaf Khan
Anam Fatima Janjua
Sania Ashraf
Farhan Tuyyab
author_facet Saleha Abbas
Abdul Hameed Siddiqui
Ammar Cheema
Ayesha Abbas
Syed Khawar Abbas Jaffri
Sadaf Khan
Anam Fatima Janjua
Sania Ashraf
Farhan Tuyyab
author_sort Saleha Abbas
title ASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMI
title_short ASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMI
title_full ASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMI
title_fullStr ASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMI
title_full_unstemmed ASSOCIATION OF THROMBOLYSIS IN MYOCARDIAL INFARCTION (TIMI) RISK SCORE WITH EXTENT OF CORONARY ARTERY DISEASE IN PATIENTS WITH UNSTABLE ANGINA AND NSTEMI
title_sort association of thrombolysis in myocardial infarction (timi) risk score with extent of coronary artery disease in patients with unstable angina and nstemi
publisher Army Medical College Rawalpindi
publishDate 2020
url https://doaj.org/article/10eec795fd8c4b03a4861f71e604b191
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