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TITLE:

IN HOSPITAL OUTCOMES IN CASES AFTER ACUTE CORONARY SYNDROME.

AUTHORS:

Amrat Zahra Naqvi, Abdul Hannan, Samreen Gull

ABSTRACT:

Objective: To determine the frequency of various in hospital outcomes in cases after acute coronary syndrome. Methodology: This was a descriptive case series conducted at Mayo hospital & Sir Ganga Ram Hospital, Lahore and Aziz Bhatti Shaheed Teaching Hospital, Gujrat during January 2019 to June 2019. In the present study the cases with age range of 30 to 60 years of either gender presenting with ACS were included. ACS was labelled with the history of chest pain and ECG changes i.e. ST segment elevation depression or t wave inversion. The cases were followed to look for in hospital outcomes. Results: In the present study there were total 100 cases of acute coronary syndrome out of which 58 (58%) were males and 42 (42%) were females. The mean age was 55.34±9.12 years and mean duration of ACS was 17.34±4.13 hours. Different outcomes in the form of abnormality was seen in 49 (49%) of cases with few overlapping in some cases. The most common outcome was arrhythmia seen in 43 (43%) of the cases. It was followed by heart failure seen in 16 (16%) of cases. Cardiogenic shock was seen in 12 (12%) of cases, while mortality was seen in 5 (5%) followed by recurrent infarction in 3 (3%) of cases. Conclusion: Acute coronary syndrome can result in various outcomes and the arrhythmias is the most commonly observed among them. Key words: ACS, Arrhythmias, Shock, Mortality

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