Assessment of ACS Level in Patients with A typical Chest Pain Admitted to the Hospital in Tehran and Its Correlation with Various Risk Factors

Ali Omraninava1, Ali Mohammadshahi1*, Mohammad Mehdi Forouzanfar2 and Amir Masoud Hashemian3

¹Department of Emergency Medicine, AJA University of Medical Sciences, Tehran, Iran. ²Department of Emergency Medicine , Shohadaye Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. ³Department of Emergency Medicine, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

ABSTRACT: Cardiovascular diseases are currently the most common causes of death in most parts of the world and Iran. In most cases, heart attack and premature coronary artery disease have a direct correlation with the number and the severity of risk factors for atherosclerosis such as hypertension, diabetes, smoking, obesity, hyperlipidemia, and etc. Given the high prevalence of ACS (acute coronary syndrome), it is necessary to pay a great attention to patients with chest pain. Considering that ACS is a method for the differential diagnosis, the atypical chest pains are required to be of great interest. Since determining the amount of ACS in patients with atypical chest pain, in terms of age, gender, HTN, family history of ischemic heart disease (IHD) and smoking, play an important role in estimating the amount of influence as well as medical advices, prevention and treatment, this study is aimed to investigate the relationship between these factors and the amount of ACS. This study is a cross-sectional study in Besat Hospital. Patients with ECG changes or enzyme elevation and also with a finding in angiography, in favor of ischemia after admission to CCU, were considered as ACS.  Personal information about the presence or the absence of risk factors was obtained through the forms designed for this purpose. The results obtained were analyzed with SPSS software and were interpreted using descriptive statistics and statistical tests. Companionship chance of the risk factors associated with ACS was analyzed using odds-Ratio statistical analysis. The results showed the relationship between the risk factors examined such as older age, hypertension, diabetes, hyperlipidemia, history of IHD, smoking and the family history of IHD with ACS.

KEYWORDS: Ischemic heart disease; Atypical chest pain; Ischemic heart disease risk factors

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