COMMONEST SUBTYPE OF ACUTE CORONARY SYNDROME AMONG WOMEN ADMITTED IN CARDIAC CARE UNIT OF A TERTIARY CARE HOSPITAL IN RAWALPINDI, PAKISTAN

Dr. Abdullah, Dr. Saman Kibriya, Dr. Qaiser Mehmood Saleem, Dr. Khalid Shahzad*, Dr. Anum Ashfaq, Dr. Umer Bin Khatab Abbasi, Dr. Hina Sadiq and Dr. Hayida Ali

ABSTRACT

Objective: To find out the common subtype of acute coronary syndrome among women of age 40-80+ admitted in cardiac care unit of a tertiary care hospital in Rawalpindi, Pakistan. Design: Cross-sectional observational study. Study setting: Fauji foundation hospital Rawalpindi, Pakistan. Duration of study: Total duration of 2 months. Methodology: This is a cross-sectional study conducted at a tertiary care hospital in Rawalpindi, Pakistan from January 2020 till March 2020 in cardiac care unit. Total of 49 female patients were selected randomly with diagnosed acute coronary syndrome. The ages of the female patients were between 40-80+ years. A typical ECG criteria and raised cardiac enzymes/markers were selected to find out the type of ACS. SPSS version 21 was used and data was analyzed p value of <0.05 was taken as significant. Results: In reference to subtype of ACS majority of patients 29 (59.2%) had STEMI. The most number of patients with ACS were of age group 60-70yr i.e. 14(28.6%) with P value 0.055 which is insignificant. Association of risk factors with ACS showed postmenopausal being the most common risk factor with 42(85.7%) patients and p value of 0.013 followed by hypertension and diabetes mellitus whereas least common risk factor turned out to be hyperthyroidism with only 2(4.1%) patients with p value of 0.487 which is insignificant. Conclusion: The final conclusion of the study showed that STEMI was the most common subtype of acute coronary syndrome among women of 60-80 years of age whereas NSTEMI was seen in relatively younger patients with age group ranging from 40-50 years of age.

Keywords: Cardiovascular diseases, acute coronary syndrome, STEMI, NSTEMI, Unstable angina.