Risk Factors of Acute Coronary Syndrome: The Experience from Iran

Abstract

Aims: This study was conducted with the aim of identifying the risk factors of coronary artery disease in patients referred to Imam Khomeini Hospital in Jiroft. Background: Acute coronary syndrome (ACS) is a spectrum of symptoms compatible with acute myocardial ischemia. Understanding these factors can have an effective impact on the prevention, diagnosis, and management of ACS. Methods: This is a descriptive study. Participants in this study were all patients diagnosed with acute coronary syndrome and acute myocardial infarction in 2020. Data collection was done by reviewing patients' clinical records. Data analysis was performed by SPSS version 21. Results: Out of a total of 228 patients, 149 (65%) were male and 79 (35%) were female. 88% of patients complained of heart pain upon arrival, 43% had a history of drug abuse, 98.2% had retrosternal pain, 48.1% had an average length of hospitalization of four days, 32% were under ischemic treatment, and 68% were under ischemic treatment. They were on thrombolytic therapy. The majority of patients (65.1%) had an EF greater than 40%. 13.9% mortality, 18.9% discharge with survival and recovery, 62.7% recovery and referral to a higher center to complete treatment and angiography, and 4.5% leaving the hospital with It was personal satisfaction. Conclusion: The main risk factors related to chest pains in the Jiroft region and the reason for more patients going to the hospital include hypertension, high blood sugar on arrival, low WMR, high BMI, drug abuse, leukocytosis, and non-compliance with post-treatment recommendations.