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April 30, 2019Nepalese Heart JournalOpen Access

Clinical characteristics, risk factors and angiographic profile of acute coronary syndrome patients in a tertiary care center of Nepal.

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Key result

Among 419 patients with acute coronary syndrome in Nepal, STEMI was the most common presentation (60.1%), smoking the most prevalent risk factor (57.5%), and single-vessel disease the most frequent angiographic finding (34.6%).

Why the study?

The study was conducted to evaluate risk factor prevalence, angiographic distribution, and severity of coronary artery stenosis among ACS patients admitted to a tertiary care center in Nepal.

Population

419 ACS patients admitted to MCVTC in Nepal

Design

Retrospective study

Authors

ASAbhishesh ShakyaGautam Buddha UniversitySJSunil Chandra JhaTribhuvan UniversityRGRatna Mani GajurelTribhuvan University

Discussion

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Implication

Characterizes ACS profile in Nepal; leaves open whether patterns guide local prevention or require prospective validation.

Study Design

Type

Observational (n=419)

Multicenter

No

Structured PICO

P
Population
419 adults with acute coronary syndrome admitted to a tertiary care center in Nepal, evaluated for clinical characteristics, risk factors, and angiographic profiles.
O
Outcome
Prevalence of risk factors, angiographic distribution, and severity of coronary artery stenosis

In a Nepalese tertiary center, STEMI is the most common ACS presentation, with smoking as the leading risk factor and single-vessel disease as the most frequent angiographic finding.

Limitations

  • Single center, retrospective and observational analysis
  • Potential selection bias and missing information
  • No follow up data as the study was based only on in-hospital records

Cite This Study

Shakya et al. (2019) conducted an observational in Acute coronary syndrome (n=419). Risk factors and clinical characteristics was evaluated on Angiographic profile and risk factor prevalence. Among 419 patients with acute coronary syndrome in Nepal, STEMI was the most common presentation (60.1%), smoking the most prevalent risk factor (57.5%), and single-vessel disease the most frequent angiographic finding (34.6%).

synapsesocial.com/papers/6a5e314a05d8882f8537d18dhttps://doi.org/10.3126/njh.v16i1.23895
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The clinical spectrum of acute coronary syndromes: A study from tertiary care centre of Kumaun region of Uttarakhand2014 · 5 citations
  2. 2A prospective survey of the characteristics, treatments and outcomes of patients with acute coronary syndromes in Europe and the Mediterranean basin. The Euro Heart Survey of Acute Coronary Syndromes (Euro Heart Survey ACS)2002 · 774 citations
  3. 3Global Burden of Cardiovascular Diseases2001 · 2,993 citations
  4. 4Presentation and outcomes of patients with acute coronary syndromes in eastern Nepal2011 · 11 citations
  5. 5Profile of Acute Coronary Syndrome In Young People: A Hospital Based Observational Study in Western Nepal2018 · 7 citations