Study Of Mechanical Complications In Patients Of Acute Coronary Syndrome Within 48 Hours Of Admission

Abstract

Aim: The aim of the present study was to assess mechanical complications in patients of acute coronary syndrome within 48 hours of admission.

Methods: The present prospective observational study was conducted on 100 patients of age >18 years with confirmed diagnosis of ACS, admitted in medical intensive care unit of Dr. D.Y. Patil Medical College Hospital and Research Centre, Pimpri, Pune during the period from OCTOBER 2020– SEPTEMBER 2022.

Results: Majority of patients in this study were in the 51-60 age group (34%) followed by 61-70years (22%) and 41-50years of age (21%). The majority of patients in this study were in the 51-60 age group. It was observed that majority of the patients with acute coronary symptoms were male with proportion of 57%, followed by 43% females. 51% patients had normal BMI, 33% were overweight, and 16% were obese. It was observed that among the STEMI patient’s Chest pain was the most common symptom and it was followed by Dyspnea, Fatigue and Palpitation. Among the NSTEMI patients Dyspnea was most common presenting sign and symptom.

Conclusion: Mechanical complications of AMI are high-acuity and time-sensitive conditions associated with high morbidity and mortality rates. We propose that early recognition, diagnosis, and multidisciplinary stakeholder involvement in medical resuscitation and stabilization together with patient- centered planning and timing of appropriate surgical intervention, percutaneous technologies, mechanical circulatory support, and palliative specialist support has the potential to improve disease- and patient-centered outcomes.