Acute Coronary Syndrome in Slemani, Iraqi Kurdistan
DOI:
https://doi.org/10.56056/Keywords:
Acute coronary syndrome, Coronary artery bypass grafting, Region of Kurdistan, SlemaniAbstract
Background and objectives: Ischemic heart disease still accounts for major cause of cardiovascular disease and death worldwide. Its incidence has increased dramatically over the last decade. Presentation and management outcomes of Acute Coronary Syndrome is affected considerably with age, sex and race. The objective of this study was to assess epidemiological characteristics and analyze angiographic findings of patients.
Methods: This is an observational cross-sectional study carried out on 440 patients with acute coronary syndrome who were admitted from April to June 2024 to Slemani Cardiac Hospital and for whom coronary angiography was done. Percentages of patients with regard to age and sex determined, and angiographic characteristics identified as whether patients were right or left dominant, and number significant lesions they had. Management outcomes were also studied as if they were treated with stent, referred to open heart surgery, or just treated medically. Moreover, these angiographic findings were correlated in males with females.
Results: The results revealed that nearly two third of the patients (69%) were males. Most common age presentation was 50-60 years old (34%), while only 14% and 27% were among age groups of 40-50 and 60-70 years old, respectively. Nearly 85% of the patients were right dominant (93% of males, compared to 85.5% of females). A significant number of the patients had other significant coronary artery disease in addition to culprit lesion (104 out of 440 patients), while non-significant obstructive artery disease observed more in women (32%) compared to only 20% of males, which is statistically significant. Percutaneous coronary intervention was the most frequent modality of treated (54% of all the patients).
Conclusions: Acute coronary syndrome is quite common in this locality and plan is needed to target both primary and secondary prevention strategies.
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