Unstable Angina Risk Factors and Influence of Age and Gender in relation to In-Hospital Outcome
Iraqi Postgraduate Medical Journal,
2018, Volume 17, Issue 3, Pages 285-290
Unstable angina (UA) is a type of acute coronary syndrome. It has been recognized as a distinct syndrome intermediate between stable exertional angina and myocardial infarction. It includes many types according to the onset, duration, intensity and frequency of pain.
The objective of this study to estimate the frequency of risk factors of ischemic heart disease, influence of age and gender, also to predict the in-hospital outcome.
One hundred patients with unstable angina of all ages and both gender were enrolled in a cross-sectional study from October 2010 – June 2011 who were admitted to coronary care unit of Baghdad Teaching Hospital / Medical City.
Descriptive analyses were performed to assess the relationship between unstable angina and risk factors and influence of age and gender and in-hospital outcome.
This study showed a highest incidence of unstable angina among males and females in the age of 50-54years.Hypertension was the major risk factor (58%) while, smoking (48%), diabetes (38%), family history of ischemic heart disease (35%), hypercholesterolemia (34%) and obesity (22%).There were significant differences between both gender with unstable angina and the following risk factors: hypertension, smoking, hypercholesterolemia and obesity. There were 22% of patients with persistent chest pain who developed non- fatal acute myocardial infarction and 6% died in the hospital.
The following risk factors; hypertension, smoking, diabetes, family history of ischemic heart disease, hypercholesterolemia and obesity play an important role in occurrence of unstable angina and prognosis. The incidence of UA was higher among ages of (50 -54) years of both gender. Persistence of chest pain at rest was greatly associated with unfavorable outcome.
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