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Clinical Profile of patients with Acute Coronary Syndrome in Public Hospital in Bekasi, West Java, Indonesia

Author : B.A.Pratama, J.S. Purnama, K. Priyantoro
Upload Date : 19-04-2018

Background: Acute coronary syndrome (ACS) is a life-threatening disease. Instead of its high prevalence, there is no data about clinical profile of ACS in Bekasi General Hospital. This study was obtained to determine the clinical profile of patient hospitalized with ACS in Bekasi General Hospital.

Methods: We conducted a cross sectional study with descriptive analysis from medical record between May – August 2017 at Bekasi General Hospital who hospitalized with ACS admitted from Emergency Room. Mean for all continuous variables were calculated. Frequencies were shown for categorized variables

Results: There were 57 data obtained. There were 22 (39%) ST-Elevation Myocardial Infarction predominantly followed by 21 (37%) Non-ST-Elevation Myocardial Infarction and 14 (25%) Unstable Angina Pectoris. There were 32 (56%) males and 25 (44%) females. The mean age was 56 ± 12 with the youngest of 26 years old. The mean length of stay was 5 ± 3 days. There were 41 (72%) patients had hypertension, 17 (30%) had diabetes mellitus, 19 of 32 (59.4%) had dyslipidemia, 14 of 24 (58.3%) were smokers and 21 of 30 (70%) had familial history of cardiac events. There was one (2%) patient die and 56 (98%) were discharge. The mean onset patient came with STEMI was 18 ± 4 hours. Only one patient came with onset less than 12 hours and was given fibrinolytic therapy.

Discussion: Based on study, STEMI is the main cause of ACS. Hypertension and family history are major risk factors for ACS. Family history is an important risk factor which appears to be partly mediated through behavioral factors such as smoking, diet, and alcohol consumption and partly through genetic factors. Hypertension was another common risk factor in our study. It is well documented that hypertension is an important risk factor that has been confirmed by the Global Burden of Disease Study update for 2016.

Conclusion: STEMI was the most prevalent ACS in Bekasi General Hospital. Male gender was predominant and the youngest age was 26 years old. Hypertension was the most common risk factors. Public awareness about heart attack in Bekasi was still low.

KEYWORDS : Acute Coronary Syndrome, STEMI, NSTEMI, UAP


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