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Clinicoinvestigative profile of ischemic heart disease patients admitted in tertiary care teaching hospital: A cross-sectional study

Sonali Nakul Tambe, Sanjay S Varade, Rahul R Kunkulol, Vandana S Pulate.




Abstract

Background: Despite considerable progress in the diagnosis, management, and prevention of cardiovascular diseases, they are still the main cause of death globally. These diseases have assumed epidemic proportions in India as well. The angiographic profile of coronary artery disease patients, its clinical presentation, and risk factors differ worldwide.

Aim and Objective: The aim of the study was to study the clinicoinvestigative profile of ischemic heart disease (IHD) patients seeking treatment at tertiary care teaching hospital of western Maharashtra.

Materials and Methods: Institutional Ethics Committee approval was sought before initiation of the study. The present, descriptive, and cross-sectional study was conducted on IHD patients admitted for coronary angiography in cardiac recovery unit of tertiary care hospital. Detailed clinical data such as signs and symptoms, associated diseases, general, and systemic examination findings were collected.

Results: Out of total 190 patients, 61.57% (117) were males and 38.42% (73) were females. Majority patients were between 41 and 60 years (78.94%) of age group. The most common chief complaint was chest pain (72%), followed by breathlessness (28%), palpitation (12%) sweating (18%), and vomiting (08%). Out of all 77.89% (148) had ST-segment elevation myocardial infarction (STEMI) while other hand 16.84% (32) and 04.73% (09) had non-ST-segment elevation myocardial and unstable angina, respectively.

Conclusion: The present study concluded that IHD is more prevalent in males than females. STEMI was more common clinical presentation and cardiac failure (69.09%) was more prevalent complication among IHD.

Key words: Ischemic Heart Diseases; Cardiovascular Diseases; Coronary Angiography; STEMI; Cardiac Failure






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