Clinical Characteristic, In-Hospital and Short Term Outcomes in Patients with Acute Coronary Syndrome

Abstract
Background: The acute coronary syndrome is common public health burden and first cause of mortality all over the world. The percutaneous coronary intervention and thrombolytic therapy are the best management of patients with acute coronary syndrome.

Aim of study: To evaluate the clinical characteristics, in-hospital and short term outcomes in patients with acute coronary syndrome.

Patients & methods: A prospective cross sectional study that carried out in Erbil Cardiac center in Erbil city-Kurdistan region/Iraq through duration period of six months from first of January to 30th of June, 2022 on sample of two hundred patients with acute coronary syndrome. The diagnosis of ACS was done by senior house officer in coronary care unit at the time of admission under recommendation of national and international Guidelines.

Results: The STEMI cases were detected in 80% of patients, while NSTEMI cases were detected in 20% of patients. Short term outcomes of ACS were CABG (0.5%), stroke (1.5%), hospitalization (7.5%), HF (6%), hematoma (2.5%), blood transfusion (1%), long hospital stay (17%), death (3.5%) which classified to in-hospital death (1.5%) and death within 30 days (2%). The mean left ventricular ejection fraction of ACS patients was significantly increased after implementing percutaneous coronary intervention (p=0.002).

Conclusions: The clinical characteristics of patients with acute coronary syndrome are comparable to other literatures, while in-hospital short term outcomes are better than previous national literatures.