Key result
Conservative management was associated with a 7.5-fold increased odds of mortality compared to percutaneous coronary intervention in patients presenting with acute coronary syndrome.
Why the study?
ACS requires prompt management depending on clinical presentation, prompting an evaluation of clinical profiles and predictors of mortality in patients diagnosed with ACS.
Cross-Sectional (n=200)
No
Odds Ratio: 7.5 (95% CI 2.5–22.7)
Absolute Event Rate: 21.4% vs 3.5%
p-value: p=0.000
In patients with acute coronary syndrome, delayed presentation, specific clinical symptoms like breathlessness and syncope, and conservative management are associated with significantly higher mortality.
Introduction: Acute coronary syndrome (ACS) is an umbrella term for conditions when ischemia to the heart muscles is prolonged and not immediately reversible. Depending on its clinical presentation, prompt management is required. The objective of this study was to explore the clinical profiles and predictors of mortality among patients diagnosed with ACS.
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Bista et al. (2023) conducted a cross-sectional in Acute Coronary Syndrome (n=200). Conservative management vs. Percutaneous Coronary Intervention (PCI) was evaluated on Mortality (OR 7.5, 95% CI 2.5-22.7, p=0.000). Conservative management was associated with a 7.5-fold increased odds of mortality compared to percutaneous coronary intervention in patients presenting with acute coronary syndrome.
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