Clinical presentation and outcome of acute coronary syndrome in a tertiary hospital in Jeddah, KSA

Abstract EN

The aim is to study the pattern and outcome of acute coronary syndrome of patients admitted from the emergency room to medical wards of King Abdulaziz University Hospital in Jeddah.

By evaluating charts of those cases admitted from January 2005–December 2006, detailed data, clinical diagnosis and outcome were recorded.

279 cases were studied.

53% had unstable angina; 38% had non ST elevation myocardial infarction and 9% had ST elevation myocardial infarction; 62% were males.

The number of males exceeded the number of females for the age group 35 to 70 years; in contrast, females constituted 73% of cases for the age group from 70 years and above (p=0.0001).

77% of ST elevation myocardial infarction cases were younger than 60 years (p=0.016) and 75% of those cases were males (p=0.001).

15% of patients with ST elevation myocardial infarction died; 3% with non ST elevation myocardial infarction died but non with unstable angina (p=0.0001).

20% had angiography, 6.5% had percutaneous transluminal coronary angiography, and 6% had coronary artery bypass grafting.

More than 79% were males.

The results of this study suggest that acute coronary syndrome cases should be admitted to the coronary care unit due to high mortality rate and interventional procedures should be accessible as needed.