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Document Type |
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Article In Journal |
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Document Title |
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RISK FACTORS AND OUTCOME OF MEDICALLY TREATED ACUTE CORONARY SYNDROMES RISK FACTORS AND OUTCOME OF MEDICALLY TREATED ACUTE CORONARY SYNDROMES |
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Document Language |
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English |
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Abstract |
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A retrospective study included patients admitted to an inntensive care unit with a diagnosis of acute coronary syndrome from January 2000 to December 2003. Three hundred patients' medical histories were reviewed. The underlying risk factors such as a possitive family history, diabetes mellitus, hypertension and hyperrlipidemia were obtained. The cause for admission, hospitalization duuration, complications and mortality were all taken into consideration and compared statistically. Mean age was 55.2 ± 11.9 years with the male to female ratio of 5.8: 1. Diagnoses at the time of admission were ST elevation myocardial infarction, unstable angina, and non-ST elevation myocardial infarction in 61 %, 30%, 9% of the patients, reespectively. Thrombolytic treatment had been the golden therapeutic option for ST elevation myocardial infarction available in King Abbdulaziz University Hospital, used by 78% of the patients, followed by intravenous anticoagulants and other anti-ischemic medications. The procedures performed were percutaneous coronary angioplasty (3%), coronary bypass grafting (2%), and cardiac catheterization and anngiography for further intervention (45%) for the 300 patients, reespectively. 26% of patients developed complications. Mortality was higher among females compared to males (13.6% versus 5.9%). In conclusion male gender, diabetes mellitus, hypertension, hyperrlipidemia, positive family history and smoking were the main asssociated risk factors in our study. ST elevation myocardial infarction was the predominant presentation in our patients. Thrombolytic treattment was the available therapeutic option in our hospital.
Keywords: Acute coronary syndrome, Risk factors, Thrombolytic treatment.
Correspondence & reprint requests to: Dr. Aisha A. Al Ghamdi
P.O. Box 30598, Jeddah 21487 Saudi Arabia Accepted for publication: 23 February 2005. Received: 24 October 2004. |
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ISSN |
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1319-1004 |
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Journal Name |
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JOURNAL OF KING ABDULAZIZ UNIVERSITY MEDICAL SCIENCES (JKAU). |
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Volume |
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12 |
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Issue Number |
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2 |
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Publishing Year |
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1425 AH
2005 AD |
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Article Type |
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Article |
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Added Date |
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Tuesday, January 20, 2009 |
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