IN HOSPITAL OUTCOMES AND ACS

Objective: Frequency of in hospital outcomes in admitted with ACS. Methodology; This was a cross sectional study that was carried out at PIMS hospital, Islamabad during September 2015 to September 2016. In this study the cases of both genders with age more than 30 years were selected via Non probability consecutive sampling. These cases were admitted with standard AHA criteria of acute coronary syndrome bases on chest pain and ECG changes along with cardiac enzymes and were assessed for various clinical outcomes till their discharge or death. The cases with co morbid renal or hepatic failure or those that had pre hospital CPR, were excluded form this study. Results; In the present study there were total 100 cases, out of which 57 (57%) were males and 43 (43%) females. The mean age of the subjects was 54.11±10.35 years and mean duration of symptoms of ACS was 14.67±3.44 hours. The most common complication was arrhythmia noted in 41 (41%) of the cases, followed by hear failure in 15% cardiogenic shock in 13% and mortality in 4% of the cases. Conclusion; ACS can result in multiple complications during hospital stay and the most common one is arrhythmias.

Key words; Acute coronary syndrome, Mortality, Shock, Arrhythmias