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Subject Area

Dermatology

Article Type

Original Study

Abstract

Objective The aim of this study is to assess the influence of risk factors on in-hospital outcomes in women presenting with acute coronary syndrome. Background Cardiovascular disease is the cause of death in 55% of women compared with 43% of men. Acute coronary syndrome risk factors increase the likelihood of disease. Clinical research studies have demonstrated that effective risk factor reduction results in decreases in acute coronary syndrome morbidity and mortality. Patients and methods This is a cross-sectional study in which data were collected from September 2015 to September 2016. The study included 207 patients admitted in Cardiology Department, National Heart Institute, Egypt, chosen by simple random sample technique. A case record form was used that included modifiable and nonmodifiable risk factors, physical findings, investigations, diagnosis, interventional procedures, and in-hospital outcome. Results In this study, it was noticed that left ventricular (LV) dysfunction was the most frequent outcome: 13% for moderate reduction in LV function and 6% for severe reduction. Overall, 53.6% of those who developed mild to moderate LV dysfunction and 69.2% of those with severe LV dysfunction were diabetics. There was no statistically significant difference regarding death between ST-elevation myocardial infarction and non-ST-elevation myocardial infarction. There is a significant association between death and positive family history of ischemic heart disease (P = 0.05). Conclusion The results of this study have demonstrated that there was a significant association between death and positive family history of ischemic heart disease (P = 0.05).

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