Acute Coronary Syndrome among Patients with Chest Pain: Prevalence and Common Cardiovascular Risk Factors

Abstract

Background: Chest pain not yet diagnosed), has been introduced in order to describe the subset of patients without coronary ischemic etiology of their chest pain. Chest pain is one of the common reason and Acute coronary syndrome is an important cause of chest pain. Objective: To assess the Prevalence of Acute Coronary Syndrome among Patients Presenting with Chest Pain and its association with common cardiovascular risk factors. Methods: This was an observational study conducted at Faridpur Medical College Hospital, Faridpur, Bangladesh from January to June 2022 enrolling 224 participants consecutively. Participants were interviewed focusing history of hypertension, diabetes, smoking and nature of chest pain. The diagnosis of participants whether it was acute coronary syndrome or not were recorded. Prevalence of acute coronary syndrome was calculated. Linear regression analysis was done to see the correlation with tested variables. Results: Out of 224 participants, 150 (66.96%) were male. Hypertension was present in 84 (37.5%), diabetes in 60 (26.78%) and 52 (23.21%) were smoker. Mean age was 51.82±14.24 years. Seventy-five (66.96%) were male. Forty-two (37.5%) were hypertensive, 60 (26.78%) were diabetes and 52 (23.21%) were smoker. Fifty-six (50%) had nonspecific chest pain, 70 (31.25%) had atypical chest pain and 42 (18.75%) had typical chest pain. Among the participants 76 (33.93%) had acute coronary syndrome. Acute coronary syndrome showed positive correlation with age, gender, nature of chest pain, hypertension and smoking. Conclusion: Acute coronary pattern was one of the common cause of casket pain among actors visiting exigency of a tertiary cardiac centre. We set up positive correlation of age, gender, nature of casket pain, hypertension and smoking with opinion of ACS. Cases with these threat factors need strong dubitation of ACS and prompt work up when they present with casket pain so that they can get proper operation on time.