Abstract
Objective: Aim of this study was to know the outcomes of conservatively treated ACS at hospital discharge and third month post discharge.
Methodology: This cross sectional study was conducted at Cardiology department of Khyber Teaching Hospital from 1st December 2013 to 31st December 2014. Data was collected at discharge and after 3rd month on proper performa. ECG and blood sampling for cardiac troponins were done. Patients were closely observed for complications during hospital stay and then were followed for three months.
Results: A total of 100 patients were included. Among them 50% were females. Mean age of the patients was 59.14 +/- 8.25 years. Patients admitted with STEMI (73%) were more as compared to NSTEMI(18 %) and UA (9.0 %). Among conventional risk factors 21 % had both diabetes and hypertension. Mean time from onset of symptoms till CCU admission was 7.5 +/- 3.8 hours. Streptokinase was given within mean time of 35 +/- 16 minutes after presenting to emergency department to all STEMI patients. Mild mitral regurgitation (20%) followed by cardiac pulmonary edema (19%) was more common in-hospital complications. In hospital mortality was 9%. Patients were followed for 03 months. Among 91 patient discharged, cardiac pulmonary edema (11.11%) and post MI angina (08.88%) were common complications.
Conclusion: ACS patients treated conservatively have poor outcome and more complications. Therefore early invasive strategy should be considered in ACS patients.