RT - Journal
TY - JOUR
A1 - Reda, Ahmed
A1 - Abdelazez, Walaa
A1 - Yaseen, Rehab
A1 - Galal Elsawaf, Mohammed
T1 - Risk factor profile and in-hospital complications in patients admitted with acute coronary syndrome in Menoufia Governorate
YR - 2014/4/1
JF - Menoufia Medical Journal
JO - Menoufia Med J
SP - 342
OP - 346
VO - 27
IS - 2
UL - http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2014;volume=27;issue=2;spage=342;epage=346;aulast=Reda;t=5
DO - 10.4103/1110-2098.141705
N2 - Objective
The aim of this work was to study the pattern of risk factors in patients admitted with acute coronary syndrome (ACS) to the coronary care unit in Menoufia Governorate and their relationship with the in-hospital complications.
Background
Coronary artery disease is a progressive disease process that generally begins in childhood and manifests clinically in mid-to-late adulthood.
Patients and methods
The study included 120 patients admitted to Coronary Care Unit with ACS during the period from October 2009 to April 2010. Patients were divided into three groups according to their age (≤40, 40-60, and ≥60 years) and followed up during the period of their admission, and the in-hospital complications were recorded. Statistical presentation and analysis of the present study was conducted using the mean, SD, and the c2 -test by SPSS v. 16.
Results
Our study included 95 men (79.1%) and 25 women (20.9%). ACS was higher in the older women group III than in the other groups (P < 0.05). Family history and smoking were prevalent in the younger patients group I than in other groups; fasting and 2-h postprandial patients were higher in group II than in other groups; and waist circumference and BMI were significantly higher in group II than in other groups. Women had a higher incidence of diabetes mellitus and hypertension, and more atherogenic lipid profile pattern than men. In contrast, smoking was more prevalent in men (63.1%) than in women (0%).
Conclusion
Group I (<40 years) had fewer risk factors as they represented the lowest incidence of diabetes mellitus, hypertension, obesity, and metabolic syndrome. In addition, they had better pattern of lipid profile than the other groups. In contrast, they had increased incidence of other risk factors such as positive family history of premature coronary artery disease, higher incidence of current smoking, low HDL value, and being male sex.
ER -