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Category: Volume 09 Issue 11 November 2021
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Title: Socio-Demographic Characteristics and Association of Risk Factors with Type of Acute Coronary Syndrome in Elderly Patients

Authors: Vikas Chaudhary, Parminder S Otaal, Neelam Dahiya, Bhupendra K Sihag

 DOI: https://dx.doi.org/10.18535/jmscr/v9i11.38

Abstract

Objective: This prospective, observational study was aimed at reporting the demographics of acute coronary syndrome in elderly patients (≥75 years) at northern part of India. The type of presentation was also studied in relation to the various risk factors of CAD.

Material and Methods: It was a single centre, open label, prospective observational study conducted in the elderly patients (more than 75 years of age) of acute coronary syndrome. A total of 100 patients of either sex were included in the study. These patients were studied for their socio-demographic profiles and the distribution of various risk factors for coronary artery disease amongst them.

Results: The majority of patients were males (69%) and the average age of the patients enrolled was 80.03 ± 3.46 years. The majority of the patients were from the state of Punjab (40%), followed by the state of Himachal Pradesh (26%), Haryana (17%), and Chandigarh (16%) respectively. Socioeconomic area-wise, 38% of patients were from rural areas, 37% from the urban area and 25% were from the semi-urban area. 42% of the patients had no formal education. 35 % of patients had been educated up to the primary level, 16% up to secondary level and 7% of the patients had received education up to the tertiary level. In the case of smoking as a risk factor, there was a significant association of smoking with the diagnosis of STEMI as compared to that of NSTEMI or UA

Conclusions: Male patients constituted more than 2/3rd of study population. Higher incidence of ACS was observed in patients with lower education level, and in patients from urban/semiurban areas compared to rural areas. Smoking as a risk factor, was significantly associated with the diagnosis of STEMI as compared to NSTEMI or UA.

Keywords: Acute Coronary Syndrome, Elderly, Socio-demographic, Smoking.

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Corresponding Author

Dr Vikas Chaudhary

Senior Resident, Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India