•  
  •  
 

Subject Area

Cardiology and Vascular Medicine

Article Type

Original Study

Abstract

Objective To evaluate the pattern of risk factor profile among Egyptian patients with acute coronary syndrome (ACS). Background Little is known about risk factors and treatment modalities in Egyptian patients with ACS. Patients and methods This cross-sectional study was conducted on 200 adult participants presented to the National Heart Institute, Cairo, Egypt, during May 2017 throughout April 2018. Patients with ACS including ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, or unstable angina were included. All patients were subjected to history taking, clinical examination, 12-lead ECG, and plasma troponin I to confirm myocardial necrosis and to identify ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, and unstable angina. Results The percent of current smokers was significantly higher than nonsmokers (63.5 vs. 36.5%, P = 0.001). History of hypertension was significantly more frequent among the studied patients (57.5 vs. 42.5%, P = 0.034), and the same was observed for diabetes mellitus (60.5 vs. 39.5%, P = 0.003). Dyslipidemia (57%) was also significantly higher. Regarding the BMI, a high percentage of the studied patients were overweight and obese (40.5%). The mean low-density lipoprotein and BMI were significantly higher in females than males (P = 0.043 and 0.018, respectively). Conclusion The findings of the present study revealed a number of modifiable risk factors for ACS among Egyptian patients. These comprised smoking, obesity, hypertension, diabetes mellitus, and dyslipidemia. Considering lifestyle interventions and awareness of the public especially among women would contribute toward minimizing ACS.

Download

Share

COinS