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Curr Trend Cardiol. 2017 | Volume 1 Issue 3
September 18-19, 2017 | Toronto, Canada
Annual Conference on
HEART DISEASES
Background:
Coronary artery disease is a major cause of
morbidity and mortality across the globe. Although rich
data is available regarding clinical profile of acute coronary
syndrome (ACS) patients in the western world, very few
studies have been done in Punjab population in India. Our
study will contribute towards filling this gap.
Aim:
To study clinical profile, risk factors, angiographic
findings and immediate and short term mortality statistics in
ACS patients of Punjab, India.
Materials and Methods:
It was a prospective observational
study done on the ACS patients who were admitted to Guru
Nanak Dev Hospital/ Government Medical College Amritsar
between the period from July 2016 to June 2017.
Results:
In this study 393 patients with ACS were recruited.
Out of these 299 (79.08%) were males and 94 (23.92%) were
females. The mean age of our population was 64.52 ± 11.04.
Hypertension was present as a risk factor in 301 patients
(76.59%), 263 patients (66.92%) were smokers, 234 (61.83%)
had BMI more than 25, while 35 patients (4.33%) had a family
member with was diagnosed with ACS. 55 patients (31.99%)
were classified in advanced Killip class (Class 3 or 4) at the
time of presentation. 263 patients (66.92%) had ST segment
elevation myocardial infaction (STEMI), 113 (28.75%) had
non- ST segment elevation myocardial infaction (NSTEMI),
while 17 (4.33%) patients were diagnosed to have unstable
angina(UA). Most patients had involvement of single vessel
disease (N=230, 58.52%). 73 patients (18.58%) patients had
double vessel disease, 44 patients (11.20%) patients had
triple vessel disease, while 7 patients (1.78%) had left main
vessel involvement. Diabetic patients had more chances of
mortality as compared to non diabetics during initial hospital
admission (N= 21, 12.73% Vs N=13, 5.70%, p value <0.05) as
well as during 30 day follow up period (N= 11, 7.64% Vs N=7.
3.26%, p value <0.05).
Conclusion:
LAD was most commonly involved vessel,
followed by LCX and RCA respectively, Hypertension and
smoking were two most commonly associated risk factors
with ACS. Diabetes in ACS patients leads to more aggressive
course of disease and leads to higher mortality as compared
to non-diabetic ACS patients.
Speaker Biography
Nirankar Singh Neki, MBBS, MD(Internal Medicine) is working as Professor and Head of
Medicine unit 2 at Govt. Medical College Amritsar, India. He has teaching experience
of 30 years as undergraduate teacher and 28 years as postgraduate teacher. He has an
entry in the Limca Book of Records of 2015 for being the recipient of four Fellowships
of the Royal College of Physicians (Edinbourgh, Glasgow, Ireland and London). In total
he has 38 fellowship awards with different institutes. He is receipient of FACC(USA),
FAHA(USA), FESC, FACP(USA),and holds name in cardiology .Dr. Neki holds 13 different
Oration Awards and has been a named author in 365 scientific publications, including
book chapters. He is also Editor in Chief, Senior Editor, Editor, Section Editor, and
Associate Editor of more than 13 national and international medical journals. Dr. Neki
has been a Visiting Professor at James Cook University Hospital in Durham, UK and
at the University of Manitoba’s Institute of Cardiovascular Sciences at St. Boniface
Hospital &Research Centre, Winnipeg, Canada.
e:
drneki123@gmail.comClinical profile of acute coronary syndrome in tertiary care hospital of northern India, Punjab
Nirankar Singh Neki
and
Jaswinder Singh
Government Medical College, India