Prognostic Value of Selected Presenting Features of Acute Coronary Syndrome in Predicting In-Hospital Adverse Events: Insight from the Thai Acute Coronary Syndrome Registry

Chaowalit, Nithima; Yipintsoi, Tada; Tresukosol, Damras; Kanjanavanit, Rungsrit; Kiatchoosakun, Songsak

doi:10.2169/internalmedicine.48.1469

Cited by 2 publications

(2 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…advanced age and severe renal failure [95]), other comorbidities, ability to benefit from treatment, patient preference, prior invasive procedures and access to treatment. Data from the Thai ACS Registry showed that cardiac dyspnea, shock and post cardiac arrest were independent predictors of poor prognosis in ACS [96]. Decisionmaking tools can be useful in improving the accuracy of risk stratification [97,98].…”

Section: Risk Score Modelsmentioning

confidence: 99%

Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group

Huo

Thompson

Buddhari

et al. 2015

International Journal of Cardiology

View full text Add to dashboard Cite

Section: Risk Score Modelsmentioning

confidence: 99%

Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group

Huo

Thompson

Buddhari

et al. 2015

International Journal of Cardiology

View full text Add to dashboard Cite

“…Acute coronary syndrome (ACS), including ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and unstable angina (UA), is a major life-threatening manifestation of coronary artery disease. 1 – 3 Moreover, data from early in the thrombolytic era indicate that STEMI complicated by ventricular arrhythmia (VA) is associated with a greater risk of short- and long-term mortality. 4 – 6 This increased mortality rate has been shown with VA following NSTEMI as well.…”

mentioning

confidence: 99%

Incidence of ventricular arrhythmia and associated patient outcomes in hospitalized acute coronary syndrome patients in Saudi Arabia: findings from the registry of the Saudi Project for Assessment of Acute Coronary Syndrome (SPACE)

Hersi

AlHabib

AlFaleh

et al. 2012

Annals of Saudi Medicine

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVESMortality in acute coronary syndrome (ACS) patients with ventricular arrhythmia (VA) has been shown to be higher than those without VA. However, there is a paucity of data on VA among ACS patients in the Middle Eastern countries.DESIGN AND SETTINGProspective study of patients admitted in 17 government hospitals with ACS between December 2005 and December 2007.PATIENTS AND METHODSPatients were categorized as having VA if they experienced either ventricular fibrillation (VF) or sustained ventricular tachycardia (VT) or both.RESULTSOf 5055 patients with ACS enrolled in the SPACE registry, 168 (3.3%) were diagnosed with VA and 151 (98.8%) occurred in-hospital. The vast majority (74.4%) occurred in patients with ST-segment elevation myocardial infarction. In addition, males were twice as likely to develop VA than females (OR 1.7; 95% CI 1.1–3). Killip class >I (OR 2.0; 95% CI 1.3–3.1); and systolic blood pressure <90 mm Hg (OR 6.4; 95% CI 3.5–11.8) were positively associated with VA. Those admitted with hyperlipidemia (OR 0.49; 95% CI 0.3–0.7) had a lower risk of developing VA. Adverse in-hospital outcomes including re-myocardial infarction, cardiogenic shock, congestive heart failure, major bleeding, and stroke were higher for patients with VA (P≤.01 for all variables) and signified a poor prognosis. The in-hospital mortality rate was significantly higher in VA patients compared with non-VA patients (27% vs 2.2%; P=.001).CONCLUSIONSIn-hospital VA in Saudi patients with ACS was associated with remarkably high rates of adverse events and increased in-hospital mortality. Using a well-developed registry data with a large number of patients, our study documented for the first time the prevalence and risk factors of VA in unselected population of ACS.

show abstract

Prognostic Value of Selected Presenting Features of Acute Coronary Syndrome in Predicting In-Hospital Adverse Events: Insight from the Thai Acute Coronary Syndrome Registry

Abstract: Objective To evaluate the relationship of the presenting features of acute coronary syndrome (ACS)

Cited by 2 publications

References 26 publications

Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group

Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group

Incidence of ventricular arrhythmia and associated patient outcomes in hospitalized acute coronary syndrome patients in Saudi Arabia: findings from the registry of the Saudi Project for Assessment of Acute Coronary Syndrome (SPACE)

Contact Info

Product

Resources

About