Short-term complications of acute coronary syndrome (ACS): Mansoura university experience

Elrayes, Mahmoud Mahmoud; Moussa, Ahmed; Gomaa, Gamal

doi:10.21608/zumj.2023.185396.2742

Short-term complications of acute coronary syndrome (ACS): Mansoura university experience

Document Type : Original Article

Authors

¹ cardiology department, Faculty of Medicine, Mansoura University, Mansoura, Egypt

² Cardiology department, El Ahrar teaching hospital, Zagazig, Egypt

³ Department of Cardiology, Faculty of Medicine, Mansoura University, Egypt.

10.21608/zumj.2023.185396.2742

Abstract

Abstract

Background: In recent years the diagnosis and therapy of acute coronary syndrome (ACS) has improved markedly with significant decrease in mortality; however, many complications still happen.

Aim of the Study: This present study is designed to detect the short-term complications of ACS and correlate it with clinical variables and the treatment strategies.

Patients and Methods: This is a prospective clinical study including 152 patients with ACS admitted in cardiovascular department at specialized medical hospital, Mansoura University during the period between July 2019 to October 2019. We will document acute in-hospital complications and 1-month outcome.

Results: There were 78 cases (51.3%) with no complications and 74 cases (48.7%) with complications. The most frequent complication was heart failure (HF) which was found in 51 cases (33.6%) followed by ventricular tachycardia(VT) in 19 cases (12.5%), shock in 16 cases (10.5%), sinus bradycardia in 12 cases (7.9%), pericardial effusion in 10 cases (6.6%), ventricular fibrillation(VF) in 7 cases (4.6), 1st degree heart block(HB) in 5 cases (3.3%), right ventricular (RV) infarction and complete HB in 4 cases (2.6%), hypotension and mural thrombus in 3 cases (2%), Mobitz type-2 HB in 1 case (0.7%), left ventricular(LV) aneurysm in 2 cases (1.3%) and 6 cases (3.9%) arrested or died.

Conclusion: HF was the most common complication among ACS cases and sinus bradycardia was the most common electrical abnormality. Early treatment and percutaneous coronary intervention (PCI) could improve outcome and reduce complications.

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