scholarly journals IMPACT OF HIV INFECTION ON INPATIENT MORTALITY, TREATMENT STRATEGIES AND COMPLICATIONS IN PATIENTS ADMITTED FOR ACUTE CORONARY SYNDROME: ANALYSIS OF NATIONAL INPATIENT SAMPLE

2021 ◽  
Vol 77 (18) ◽  
pp. 128
Author(s):  
Muhammad Usman Almani ◽  
Muhammad Usman ◽  
Cyra-Yoonsun Kang ◽  
Emmanuel Akuna ◽  
Iriagbonse Rotimi Asemota ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Hiv Infection ◽  
Treatment Strategies ◽  
National Inpatient Sample ◽  
Inpatient Mortality ◽  
Coronary Syndrome ◽  
Syndrome Analysis

Abstract 15263: Co-existing Systemic Lupus Erythematosus Does Not Negatively Impact Outcomes of Patients Admitted for Acute Coronary Syndrome: Analysis of the National Inpatient Sample

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Ehizogie Edigin ◽  
precious O Eseaton ◽  
Iriagbonse R Asemota ◽  
Emmanuel Akuna ◽  
Hafeez Shaka ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Acute Coronary Syndrome ◽  
Cardiovascular Diseases ◽  
Lupus Erythematosus ◽  
Secondary Diagnosis ◽  
National Inpatient Sample ◽  
Inpatient Mortality ◽  
Systemic Lupus ◽  
Total Hospital ◽  
Coronary Syndrome

Introduction: Systemic Lupus Erythematosus (SLE) is a chronic inflammatory autoimmune disease with effects on multiple organ systems and a wide range of clinical manifestations. Cardiovascular diseases from accelerated atherosclerosis are one of the major causes of mortality in SLE patients. This study aims to compare the outcomes of patients primarily admitted for Acute Coronary Syndrome (ACS) with and without a secondary diagnosis of SLE. Methods: Data were abstracted from the National Inpatient Sample (NIS) 2016 and 2017 Database. This database is the largest collection of inpatient hospitalization data in the United States (U.S). The NIS was searched for hospitalizations for adult patients with ACS as principal diagnosis with and without SLE as secondary diagnosis using ICD 10 codes. The primary outcome was inpatient mortality. Secondary outcomes of interest are showed in Table 1. Multivariate logistic and linear regression analysis was used accordingly to adjust for confounders. STATA software was used to analyze the data. Results: There were over 71 million discharges included in the combined 2016 and 2017 NIS database. Out of 1.3 million patients with ACS, 5,485 (0.42%) had SLE. The adjusted odds ratio (AOR) for inpatient mortality for ACS with co-existing SLE compared to those without SLE was 1.16 (95% CI 0.86-1.56, P=0.333). Hospitalizations for ACS with co-existing SLE had a decrease in adjusted mean total hospital charge of $5,164 compared to those without SLE (95% CI - {10,202-126}, P=0.045). Conclusions: Patients admitted primarily for ACS with a secondary diagnosis of SLE had less total hospital charges, but similar inpatient mortality, LOS, revascularization strategies, rates of IABP and PEAD placement compared to those without SLE. Though SLE is known to increase the risk of cardiovascular diseases, SLE does not negatively impact outcomes in patients primarily admitted for ACS based on U.S. national hospital billing data.

scholarly journals Demographic and angiographic profile in premature cases of acute coronary syndrome: analysis of 820 young patients from South India

2016 ◽  
Vol 6 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Surender Deora ◽  
Tarun Kumar ◽  
Rangaraj Ramalingam ◽  
Chollenhalli Nanjappa Manjunath
Keyword(s):  
Acute Coronary Syndrome ◽  
South India ◽  
Young Patients ◽  
Coronary Syndrome ◽  
Syndrome Analysis

scholarly journals Clinical presentation and treatment in patients with acute coronary syndrome in a tertiary care general hospital in Bangladesh

2018 ◽  
Vol 4 (1) ◽  
pp. 117-122
Author(s):  
Monalisa Monwar ◽  
Ambia Khatun ◽  
Masud Parvez ◽  
Tarannum Naz ◽  
Mir Imam Ibne Wahed ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
General Hospital ◽  
Troponin I ◽  
Tertiary Care ◽  
Treatment Strategies ◽  
Acute Chest Pain ◽  
Average Hospital ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Depression

Acute coronary syndrome (ACS) is a leading cause of death among people in Bangladesh. The aim of the study was to analyze the clinical course and treatment strategies in patients with ACS and to determine to what extent management of ACS in a tertiary care general hospital in Bangladesh adhered to current guidelines. This study was carried out in the coronary care unit (CCU) of a tertiary care general hospital, Rajshahi, for a period of 3-months. A total number of 240 patients presenting with ACS were included in our study and the most common symptoms were acute chest pain (90%) and dyspnea (49%). The study group comprised of 27% female and 73% male patients with varying risk factors including hypertension (45%), hyperlipidemia (43%), family records of coronary artery disease (CAD) (20%), diabetes (17%) and smoking (15%). The most frequent ECG finding in patients was T wave change (71%), pathological Q wave (67%), ST segment elevation (33%), ST depression (9%), whereas, 12% patients with ACS reported to have normal ECG. Patients with ACS had elevated levels of SGOT and CK-MB. Troponin I level was positive in 100% of the patients with a mean peak troponin level of 1.5± 0.15ng/ml. In clinical setting, the patients were immediately managed with isosorbidedinitrate (58%), streptokinase (40%) and intravenous heparin (LMWH) followed by (46%) and (54%) of aspirin and aspirin-clopidogrel combinations respectively. In addition, long-term management with antihypertensive included β-blocker (58%), calcium channel blocker (29%), ACE-I (25%) and diuretics (12%). Anti-diabetic (18%) drugs were also prescribed in patients with co-existing diabetes and CAD. Adherence to guidelines is limited by lack of funds and resources in the hospital; however, attention must be paid to improve patient outcome. The average hospital stay ranges 2-3 days and hospital mortality was 10%.Asian J. Med. Biol. Res. March 2018, 4(1): 117-122

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