Title:Evaluating Mortality Rate and Associated Parameters in Patients with Acute Coronary Syndrome
Volume: 20
Issue: 3
Author(s): Alireza Gheini, Ali Pooria*Afsoun Pourya
Affiliation:
- Department of Cardiology, Lorestan University of Medical Sciences, Khorramabad,Iran
Keywords:
Acute coronary syndrome, mortality rate, ECG, Killip class, AMI, angina.
Abstract:
Background: Acute coronary syndrome (ACS) is one of the leading causes of mortality
worldwide and is characterized by unstable angina or acute myocardial infarction. The aim of this
study is to evaluate the clinical characteristics of patients who died of ACS.
Methods: In this cross-sectional study, 1000 patients presenting ACS were included. Data and
records of these patients were evaluated for parameters such as; deceased status, age, gender,
diagnosis, ECG, common complaints, associated risk factors, Killip class, pulse, blood pressure,
geographic setup (urban or rural), complications and season in which the disease was presented.
Statistical analysis was performed on the data obtained using SPSS-win software.
Results: The mortality rate among ACS patients in our study was 7.1%. Of these patients, AMI was
the most prevalent diagnosis and chest pain was the most common complaint. Furthermore, low
blood pressure, advanced age, increased pulse rate and fall/winter season were associated with the
increased risk of mortality. ST deviation was the most seen ECG finding and most of the mortalities
were within the 24 hours of admission.
Conclusion: Our study reports risk factors associated with mortality in ACS patients. Advanced and
timely therapeutic measurements are likely to reduce the incidence of mortality in these patients.
