CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME

BACKGROUND AND OBJECTIVE: Cardiovascular diseases are the leading cause of mortality in Iran (46% of all deaths). 10-30% of patients referred to emergency ward had acute coronary syndrome (ACS), and 1-4% cases with acute coronary syndrome and 2-3% of patients with myocardial infarction discharged mi...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	MR Beyranvand, AA Kolahi, S.H.R Ghafelebashi
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2008
Materias:	acute myocardial infarction unstable angina stable angia pectoris acute coronary syndrome chest pain Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/53709fbc94c04d24955c840270f9fbe5
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:53709fbc94c04d24955c840270f9fbe5
record_format	dspace
spelling	oai:doaj.org-article:53709fbc94c04d24955c840270f9fbe52021-11-10T09:07:36ZCHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME1561-41072251-7170https://doaj.org/article/53709fbc94c04d24955c840270f9fbe52008-08-01T00:00:00Zhttp://jbums.org/article-1-2475-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Cardiovascular diseases are the leading cause of mortality in Iran (46% of all deaths). 10-30% of patients referred to emergency ward had acute coronary syndrome (ACS), and 1-4% cases with acute coronary syndrome and 2-3% of patients with myocardial infarction discharged mistakenly. The aim of this study was to delineate final diagnosis and characteristics of patients admitted with primary diagnosis of acute coronary syndrome (ACS). METHODS: This cross sectional study was performed on patients with primary diagnosis of acute coronary syndrome admitted in cardiac ward of Loghman hospital from 2003 to 2004. History and physical examination were done before hospitalization. After hospitalization, the result of echocardiography, angiography and electrocardiography was recorded for final diagnosis and then with considering clinical and paraclinical findings, diagnosis was confirmed. Also their family history, current smoking and history of myocardial infarction were surveyed. Test of X 2 and t-test were used for analyzing qualitative and quantitative variables respectively and p<0.05 was considered significant. FINDINGS: From 1015 patients, 116 had primary diagnosis of acute coronary syndrome that 51.6% of patients were female and their mean age was 58.9±12.9 years. Their final diagnoses were acute myocardial infarction in 196 cases (32%), possible unstable angina in 159 cases (26%), definite/probable unstable angina in 135 cases (22%) and non cardiac chest pain in 121 (19.8%). Mean age of acute coronary syndrome group (490 cases) in comparison with non cardiac chest pain group (121 cases) was more. History of diabetes mellitus, hypertension and myocardial infarction were significantly lower in non cardiac chest pain group. Sex, family history and current smoking were not significantly different. CONCLUSION: Considering about 20% of patients with non cardiac chest pain mistakenly hospitalized in cardiology ward, so it is recommended to provide suitable facilities for primary diagnosis in emergency ward to prevent improper hospitalization and discharge.MR Beyranvand,AA Kolahi,S.H.R GhafelebashiBabol University of Medical Sciencesarticleacute myocardial infarctionunstable anginastable angia pectorisacute coronary syndromechest painMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 10, Iss 3, Pp 76-82 (2008)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	acute myocardial infarction unstable angina stable angia pectoris acute coronary syndrome chest pain Medicine R Medicine (General) R5-920
spellingShingle	acute myocardial infarction unstable angina stable angia pectoris acute coronary syndrome chest pain Medicine R Medicine (General) R5-920 MR Beyranvand, AA Kolahi, S.H.R Ghafelebashi CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME
description	BACKGROUND AND OBJECTIVE: Cardiovascular diseases are the leading cause of mortality in Iran (46% of all deaths). 10-30% of patients referred to emergency ward had acute coronary syndrome (ACS), and 1-4% cases with acute coronary syndrome and 2-3% of patients with myocardial infarction discharged mistakenly. The aim of this study was to delineate final diagnosis and characteristics of patients admitted with primary diagnosis of acute coronary syndrome (ACS). METHODS: This cross sectional study was performed on patients with primary diagnosis of acute coronary syndrome admitted in cardiac ward of Loghman hospital from 2003 to 2004. History and physical examination were done before hospitalization. After hospitalization, the result of echocardiography, angiography and electrocardiography was recorded for final diagnosis and then with considering clinical and paraclinical findings, diagnosis was confirmed. Also their family history, current smoking and history of myocardial infarction were surveyed. Test of X 2 and t-test were used for analyzing qualitative and quantitative variables respectively and p<0.05 was considered significant. FINDINGS: From 1015 patients, 116 had primary diagnosis of acute coronary syndrome that 51.6% of patients were female and their mean age was 58.9±12.9 years. Their final diagnoses were acute myocardial infarction in 196 cases (32%), possible unstable angina in 159 cases (26%), definite/probable unstable angina in 135 cases (22%) and non cardiac chest pain in 121 (19.8%). Mean age of acute coronary syndrome group (490 cases) in comparison with non cardiac chest pain group (121 cases) was more. History of diabetes mellitus, hypertension and myocardial infarction were significantly lower in non cardiac chest pain group. Sex, family history and current smoking were not significantly different. CONCLUSION: Considering about 20% of patients with non cardiac chest pain mistakenly hospitalized in cardiology ward, so it is recommended to provide suitable facilities for primary diagnosis in emergency ward to prevent improper hospitalization and discharge.
format	article
author	MR Beyranvand, AA Kolahi, S.H.R Ghafelebashi
author_facet	MR Beyranvand, AA Kolahi, S.H.R Ghafelebashi
author_sort	MR Beyranvand,
title	CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME
title_short	CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME
title_full	CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME
title_fullStr	CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME
title_full_unstemmed	CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME
title_sort	charactristics and final diagnosis of patients with primary diagnosis of acute coronary syndrome
publisher	Babol University of Medical Sciences
publishDate	2008
url	https://doaj.org/article/53709fbc94c04d24955c840270f9fbe5
work_keys_str_mv	AT mrbeyranvand charactristicsandfinaldiagnosisofpatientswithprimarydiagnosisofacutecoronarysyndrome AT aakolahi charactristicsandfinaldiagnosisofpatientswithprimarydiagnosisofacutecoronarysyndrome AT shrghafelebashi charactristicsandfinaldiagnosisofpatientswithprimarydiagnosisofacutecoronarysyndrome
_version_	1718440282236649472

CHARACTRISTICS AND FINAL DIAGNOSIS OF PATIENTS WITH PRIMARY DIAGNOSIS OF ACUTE CORONARY SYNDROME

Ejemplares similares