Acute Coronary Syndrome and patient behavior factors in overcoming the event of chest pain in pre hospital phase

Background: Acute coronary syndrome (ACS) is a complex disease induced by thrombosis, which causes unstable angina (UA), acute myocardial infarction (AMI) or sudden cardiac death. It is important to rapidly detect the presence of chest pain to conduct the pre-hospital phase. This study aims to analyze the behavioral factors of patients suffering from ACS in overcoming the incidence of chest pain in the prehospital phase. Design and Methods: The consecutive sampling technique and cross-sectional method were used to obtain data from a sample of 110 outpatient respondents at the Community- Integrated Health Center.Results: After the logistic regression test, a significant relationship was found between the occurrence of chest pain (Pvalue = 0.040), with compressive behavior factors, buying over the counter drugs (P-value = 0.001), massaging and rubbing with oil (P-value = 0.046). Conclusions: In conclusion, the significant behavioral factors associated with ACS sufferers in dealing with the occurrence of chest pain in the pre-hospital phase are due to the act of buying OTC drugs and the habit of massaging or rubbing with oil.

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ACUTE CORONARY SYNDROME;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.03.1544 ◽

2017 ◽

Vol 24 (03) ◽

pp. 409-413

Author(s):

Naveed Aslam Lashari ◽

Nadia Irum Lakho ◽

Sarfaraz Ahmed Memon ◽

Ayaz Ahmed ◽

Muhammad Fahad Waseem

Keyword(s):

Acute Coronary Syndrome ◽

Chest Pain ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Coronary Syndrome ◽

Study Results ◽

Artery Obstruction ◽

Conventional Risk Factors ◽

Typical Chest Pain

Introduction: ACS is defined as the cluster of symptoms arising due to the rapiddrop of blood flow to the heart because of coronary artery obstruction. It is stated that worldwidearound 17 million people die due to cardiovascular diseases of which half of the deaths arereported due to ACS. Chest pain is known to be the most leading factor associated with ACS.Objectives: To determine the frequency of acute coronary syndrome, its types and commoncontributing factors in patients presenting with typical chest pain in a secondary care hospital.Study Design: Cross sectional study. Setting: Medical Unit, PAF Hospital Mushaf Sargodha.Period: October 2013 to March 2014. Methodology: A total of 280 patients of either gender,aged 20 to 80 years presented with typical chest pain with or without conventional risk factorswere included in the study. Results: Majority (68.9%) was males and 31.1% were female. Acutecoronary syndrome was observed in 131(46.8%) patients. Out of these 131 patients, 55% hadNSTEMI, 28.2% had unstable angina and 16.8% had STEMI. A higher proportion of femaleswere found to have ACS as compared to males (75.9% vs 33.7%, P-value<0.0001). Out of131 patients, 40.5% were diabetic, 29.8% were hypertensive 16% were hyperlipidemic, while13.7% were smokers. Conventional risk factors except smoking were observed more in femalesas compared to males. Conclusion: Majority of patients with acute coronary syndrome werefemales and diabetic. NSTEMI was the most common type of ACS. Prevalence of conventionalrisk factors was found more in females with ACS.

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Association of Non HDL-Cholesterol and other lipid parameters in patients with Acute Coronary Syndrome.

The Professional Medical Journal ◽

10.29309/tpmj/2022.29.01.6399 ◽

2021 ◽

Vol 29 (01) ◽

pp. 82-87

Author(s):

Syeda Sabahat Haider ◽

Muhammad Shahid ◽

Khalid Razaq ◽

Shama Iqbal ◽

Muhammad Tariq Ghafoor ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Total Cholesterol ◽

Statistical Significance ◽

Sampling Technique ◽

Hdl Cholesterol ◽

Cross Sectional Study ◽

Control Group ◽

P Value ◽

Cross Sectional ◽

Coronary Syndrome

Objective: To determine the frequency of hypercholesterolemia in patients who are diagnosed with acute coronary syndrome and to also document the association of Non HDL-C with Acute coronary syndrome in these patients. Study Design: Observational Cross Sectional study. Setting: Department of Cardiology and Pathology of Sheikh Zayed Hospital, Rahim Yar Khan. Period: September 2019 to February 2020. Material & Methods: One hundred and thirty five patients with Acute coronary syndrome were included using non probability purposive sampling technique and equal number of patient who visited the outpatient department or admitted in indoor with complaints other than ACS were taken as control (n=135). Frequency and percentages were calculated and odd ratio was determined to see the association. Statistical significance was set at P-value<0.05. Results: Patient’s mean age was 55.5±12.4 years and there were 98(73%) male and 37(27%) female. Higher Non HDL-C (>130mg/dl) was found in 120(88.9%) cases and in 38(28.1%) controls with odd ratio 20.4211 at 95 %CI and p value <0.001.Hypercholesterolemiawas seen in 49(36.3%) of the cases while in 21(15.6%) of control group (without ACS) with odd ratio of 3.3 and p-value <0.001. Odds ratio was maximum for Non HDL cholesterol, followed by LDL cholesterol, HDL cholesterol and Total cholesterol. Conclusion: Non-HDL cholesterol showed a good association in patients with ACS than with primary target LDL-C or total cholesterol.

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Factors Affecting Nursing Ability To Know Acute Coroner Syndrome In Emergency Installation

Journal Of Nursing Practice ◽

10.30994/jnp.v2i1.44 ◽

2018 ◽

Vol 2 (1) ◽

pp. 64-72

Author(s):

Agus Riyadi ◽

Karmiati Karmiati

Keyword(s):

Emergency Department ◽

Acute Coronary Syndrome ◽

Emergency Services ◽

P Value ◽

Cross Sectional ◽

Factors Affecting ◽

Research Education ◽

Coronary Syndrome ◽

Coronary Syndromes ◽

Almost All

Background: Coronary heart disease is the most cardiovascular disease that causes death in the world. The ability of nurses to recognize acute coronary syndromes is very necessary as part of the emergency services team. Purpose : The purpose of this study was to determine the description of the factors that influence the ability of nurses to know acute coronary syndrome in the emergency department of dr. Iskak Tulungagung. Methods : The design of this research is descriptive analytic with a cross sectional approach with the population of all nurses who work in the Emergency Department of dr. Iskak Tulungagung. The population is 55 nurses. The sample is all of the population, namely 55 respondents with total sampling sampling techniques. The data that has been collected is processed by a statistical test of Multivariate Analysis, Ordinal Regression with significance α = 0.05. Result : The results showed that most of the respondents with D3 education were 33 respondents (60.0%), almost all respondents had never attended ECG training in the amount of 50 respondents (90.9%) and almost half of the respondents had a working period of 2-5 year is 25 respondents (45.5%). The results of the regression regression analysis showed that the p-value = 0.855 on the education factor which means that H0 was accepted, the p-value = 0.041 in the training factor which means H1 is received, the p-value = 0.003 on the working period, which means that H1 is accepted Conclusion : Based on research, education does not affect the ability to recognize acute coronary syndrome. The education obtained will develop according to the increase in the work period and the frequent training that is obtained and practiced directly in real situations

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Mother's knowledge and attitudes towards Visual Acetate Acid Inspection test in Surabaya

Journal of Public Health Research ◽

10.4081/jphr.2020.1815 ◽

2020 ◽

Author(s):

Dini Mei Widayanti ◽

Mochammad Bagus Qomaruddin ◽

Dedi Irawandi

Keyword(s):

Pap Smear ◽

Sampling Technique ◽

Cross Sectional Study ◽

Study Data ◽

P Value ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

Knowledge And Attitude ◽

Design And Methods ◽

Lack Of Knowledge

Background: The incidence of cervical cancer in Indonesia is still high due to the poor awareness of married women about the necessity to check themselves with a pap smear/IVA test for early detection and possible cure. The implementation of the IVA examination still experiences obstacles due to lack of knowledge and fear. Design and Methods: This study aims to determine the relationship between knowledge and attitudes of mothers with IVA test, using the analytical and cross-sectional study. Data were obtained from mothers that visited the family planning section of the Maternal and Child Health (MCH) Center. Out of a total of 184 mothers, 126 samples were chosen by purposive sampling technique. Results: The results showed that 59.5% of respondents had scarce knowledge on IVA tests, 66.7% had unsupportive attitudes towards it, and 54.8% were not willing to carry out the tests. This study explains that there is a significant relationship between knowledge and attitude with a P-value of 0.000.Conclusions: In conclusion, various factors influence the participation of IVA examination, namely lack of knowledge, inability to access information, and fear.

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Fragmented QRS Complex as a Predictor of Multivessel Disease in Acute Coronary Syndrome

Indonesian Journal of Cardiology ◽

10.30701/ijc.v37i3.576 ◽

2017 ◽

pp. 130-6

Author(s):

Idar Mappangara ◽

Abdul Hakim Alkatiri ◽

Stefan Hendyanto

Keyword(s):

Acute Coronary Syndrome ◽

Logistic Regression ◽

Cross Sectional Study ◽

Multivessel Disease ◽

P Value ◽

Qrs Complex ◽

Cross Sectional ◽

Coronary Syndrome ◽

Fragmented Qrs ◽

History Of

Background: The incidence of multivessel disease in acute coronary syndrome (ACS) is expected to be identified as early as possible in order to perform optimal management. The presence of multivessel disease can lead to ischemia or myocardial infarction. Fragmented QRS complex (fQRS) is a new electrocardiography (ECG) parameter that has been proven to be caused by ischemia or myocardial infarction.Methods: A cross-sectional study. Patients with ACS that admitted at Dr. Wahidin Sudirohusodo Makassar since December 2014 - March 2015 who are eligible were enrolled in this study.Presence of fQRS evaluated on first 12-lead ECG at hospital admission. Presence of multivessel disease based on coronary angiography. Data were analyzed by logistic regression. Data was significant if the p-value<0.05.Results: There are 63 subjects (56 men and 7 women) included in this study. Older age, history of ACS before, presence of dyslipidemia, and presence of fQRS were significantly more often in group with multivessel disease. After analyzed with logistic regression, the fQRS was the only significant predictor of multivessel disease with p value 0.003 and odds ratio 13.28.Conclusion: Presence of fQRS in the first 12-lead ECG when admitted to the hospital was an independent predictor of multivessel disease in patients with ACS.

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Severity Level and Quality of Life of Post-Acute Coronary Syndrome Patients

Jurnal Keperawatan Padjadjaran ◽

10.24198/jkp.v9i2.1661 ◽

2021 ◽

Vol 9 (2) ◽

pp. 118

Author(s):

Donny Nurhamsyah ◽

Yanny Trisyani ◽

Aan Nuraeni ◽

Nur Maziyya

Keyword(s):

Quality Of Life ◽

Acute Coronary Syndrome ◽

Sampling Technique ◽

Bivariate Analysis ◽

P Value ◽

Physical Domain ◽

Central Hospital ◽

Severity Level ◽

Coronary Syndrome

Severity level is one of the variables used to determine the treatments of acute coronary syndrome patients. There are many ways to see the success of treatment such as measuring the patient’s quality of life. This study aims to determine the correlation between severity level and quality of life among patients with post-acute coronary syndrome at Hasan Sadikin Central Hospital Bandung. This research was a quantitative study with a descriptive-analytic approach. Sampling of 100 patients with post-acute coronary syndrome patients was collected during a period of one month using consecutive sampling technique. The severity was assessed based on the stenosis number and the quality of life data were collected using the MacNew QLMI. Somers’d Gamma was used to analyze the data. Data showed that most of the patients had angina without stenosis (36%) and coronary 1 stenosis (29%). The results of the quality of life measurement show that 58% patients have a good quality of life, 64% are good in the emotional domain, 52% are good in the physical domain, and 60% are good in the social domain. Bivariate analysis (CI 95%) showed that there was a significant correlation between severity level and quality of life (p-value 0.033), as well as with the physical domain (p-value 0,008). There is a correlation between severity level and quality of life of post-acute coronary syndrome patients in Hasan Sadikin Central Hospital Bandung. Based on the quality of life domain, the severity level was significantly related to the physical-domain. Regular screening is necessary to improve the quality of life of post-acute coronary syndrome patients.

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Evaluation of applying chest pain guidelines in coronary care patients on their health outcome

International Journal of Advanced Nursing Studies ◽

10.14419/ijans.v6i2.8282 ◽

2017 ◽

Vol 6 (2) ◽

pp. 99

Author(s):

Eman Shahin ◽

Mona Hasan

Keyword(s):

Health Outcome ◽

Acute Coronary Syndrome ◽

Chest Pain ◽

Nursing Care ◽

University Hospital ◽

Respiratory Pattern ◽

P Value ◽

Coronary Syndrome ◽

Study Results ◽

Coronary Care

Background: the National Heart, Lung, and blood Institute estimate that each year approximately 785,000 Americans will have a new coronary attack and approximately 470,000 will have a recurrent attack. Chest pain is one of the most common symptoms of coronary artery disease or acute coronary syndrome. Objectives: this study aims to compare between routine nursing care of chest pain and chest pain guidelines in patients with acute coronary syndrome and assess health outcome after application of chest pain guidelines in acute coronary syndrome patients. Method: Quasi experimental research design was used in the current study. The study was conducted at the coronary care unit of Suez canal University Hospital. Sample; consecutive of 70 patients was included in the study. Four tools were used for study data collection that named the chest pain guidelines evidence based nursing care in patients with angina pectoris, visual analog scale to assess chest pain, dyspnea scale to assess breathing pattern and fourth one was lab investigation to assess patient health prognosis. Results: The study results revealed an improvement of patients’ health outcome represented in a significant reduction in complain of chest pain, blood pressure and insufficient sleeping with P-value of 0.000 after applying guidelines of care regarding chest pain. Additionally, the respiratory pattern and respiratory rate improved significantly with P-value of 0.000. Moreover, lab investigation showed significantly decrease in LHD level with P-value of 0.000. Conclusion: The current study concluded that application of chest pain guidelines intervention could be improved patients health outcomes.

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Association of total bilirubin levels with acute coronary syndrome and other risk factors: an observational study

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20212109 ◽

2021 ◽

Vol 8 (6) ◽

pp. 835

Author(s):

Shubhangi Verma ◽

Omkar Kamble

Keyword(s):

Risk Factors ◽

Acute Coronary Syndrome ◽

Observational Study ◽

Total Bilirubin ◽

Clinical Symptoms ◽

P Value ◽

Cross Sectional ◽

Case Record ◽

Case Record Form ◽

Coronary Syndrome

Background: Acute coronary syndrome (ACS) refers to clinical symptoms pertaining to acute myocardial infarction. Bilirubin is an antioxidant that helps in removal of excessive heme. The aim of the study was to find the association of ACS and other risk factors for ACS with the total bilirubin levels in our setup.Methods: A cross sectional observational study was conducted on 100 cases attending the department of medicine in a Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra. Patients fitting the eligibility criteria were subjected to data collection which was done using pre-designed case record form. The case record form had details of demography, detailed clinical history, physical examination and relevant investigations.Results: The mean age of the cases was 55.64±10.23 years with male preponderance. Majority of the patients presented with chest pain (83%) followed by shortness of breath (65%) and nausea/vomiting (33%). There was moderate significant correlation between total bilirubin levels and LDL levels (r=0.703; p value<0.001) and There was mild significant correlation between total bilirubin levels and TGs (r=0.403, p value<0.001) Based on the median value of 0.48 as cut off, 33% had bilirubin levels more than 0.48. Presence of diabetes and hyperlipidemias had significant association with the total bilirubin levels.Conclusions: Nearly 1/3rd of the patients in our study had high bilirubin levels. Higher bilirubin levels correlated well with presence of diabetes and presence of hyperlipidemias. There was significant correlation between the serum LDL and TG levels with total bilirubin levels in the present study.

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Chest pain symptoms differences between diabetes mellitus and non-diabetes mellitus patients with acute coronary syndrome: A pilot study

Journal of Public Health Research ◽

10.4081/jphr.2021.2186 ◽

2021 ◽

Vol 10 (2) ◽

Author(s):

Halidah Manistamara ◽

Yurike Olivia Sella ◽

Sony Apriliawan ◽

Mifetika Lukitasari ◽

Mohammad Saifur Rohman

Keyword(s):

Diabetes Mellitus ◽

Acute Coronary Syndrome ◽

Chest Pain ◽

Total Sample ◽

Cross Sectional ◽

Coronary Syndrome ◽

Adequate Knowledge ◽

Late Treatment ◽

Risk Patients ◽

Pain Symptoms

Background: Chest pain is considered one of the crucial indicators in detecting acute coronary syndrome (ACS), and one of the most common complaints frequently found in hospitals. Atypical characteristics of chest pain have prevented patients from being aware of ACS. Chest pain symptoms have become ambiguous, particularly for specific parameters, such as gender, diabetes mellitus (DM), or other clinical conditions. Therefore, it is critical for high-risk patients to have adequate knowledge of specific symptoms of ACS, which is frequently associated with late treatment or prehospital delay. Therefore, this study aims to identify the particular characteristics of chest pain symptoms in DM and non-DM patients with ACS.Design and Methods: This is a quantitative and non-experimental research, with the cross-sectional approach used to carry out the analytical observation at a general hospital from January-April 2019. Data were obtained from a total sample of 61 patients, comprising 33 ACS with DM and 28 ACS non-DM patients.Results: The result showed that the characteristic of patients with chest pain symptoms has a significant relation to DM and ACS. Therefore, non-DM patients with ACS are more likely to feel chest pain at moderate to a severe level, while ACS-DM patients are more likely to have low to moderate chest pain levels.Conclusion: The significant differences in the characteristics of chest pain in DM and non-DM patients suffering from acute coronary syndrome are the points of location of chest pain radiating to the neck and quality of pain.

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Over the counter drugs: awareness and practice among the adults of Mushahar community

Journal of Chitwan Medical College ◽

10.3126/jcmc.v10i2.29662 ◽

2020 ◽

Vol 10 (2) ◽

pp. 14-18

Author(s):

Sanam Mahato ◽

Shanti Bajracharya

Keyword(s):

Strong Association ◽

Sampling Technique ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Over The Counter ◽

Face To Face ◽

Inappropriate Use ◽

Medical Person ◽

The Government

Background: Over-the-counter drugs are the medicines that are sold without prescription of medical person. Though over-the-counter drugs are believed to be relatively safe, their inappropriate use could have serious implications. The aim of the study was to assess the awareness and practice on over-the-counter drugs among the Mushahar adults of Nawalparasi district, Nepal. Methods: A descriptive cross-sectional study was conducted among 102 respondents. Non-probability purposive sampling technique was used to select the sample using semi-structured questionnaire. Data was collected through face to face exit interview. Descriptive statistics and inferential statistics were used for analyzing the data. Results: Majority (91.2%) of the respondents knew that over-the-counter drugs are the unprescribed drugs by medical person and majority (95.1%) of the respondents used in case of fever and 83.3% of the respondents used because of easy accessibility More than half (52.9%) of the respondents had practiced over-the-counter drugs at least once within the first six months of data collection. The most preferred over-the-counter drugs were analgesics i.e 44.4%. On analyzing, there found a strong association between awareness level on demographic variables of educational status and occupation with the consumption of over-the-counter drugs as p value was <0.05. Conclusions: Study revealed that people use over-the-counter drugs because of easily availability and the most commonly used drugs were analgesics. So, different awareness programmes to the community and timely monitoring and intervention from the government is needed to prevent the rampant of over the counter drugs.

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