부산대학교 도서관

Introduction: The most frequent causes of death for people with CAD are acute coronary syndromes (ACS), which include unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). Globally, coronary artery disease (CAD) is the primary cause of both mortality and morbidity. The industrialized world has experienced a significant decline in the death rate from ACS over the last 20 years as a result of the development of numerous invasive and noninvasive therapeutic approaches. Methods: Case files of every patient hospitalized to the coronary care unit of the tertiary care hospital in the Rohilkhand region, under the department of cardiology. Excluded from the research were those with established non-cardiac chest discomfort and those that were released from the hospital before the course of treatment was finished for any reason. For analytical purposes, the cases were divided into two groups: those with STEMI and those with NSTEMI/UA. Results: 90% of STEM ACS patients had coronary angiography results. DVD (51.02%) was the most frequently performed angiography, with left main (8.16%), SVD (4.08%), TVD (18.37%), and insignificant CAD (8.16%) following. In contrast, the most prevalent angiogram in the NSTEMI/UA ACS group was DVD (58.82%), which was followed by left main (1.96%), SVD (3.92%), TVD (15.69%), and insignificant CAD (5.88%). The mortality rate was 16% and 84% of patients survived. Conclusion: According to this report, there is still a significant fatality rate from ACS. The mean age of the female patients at presentation was significantly higher than that of the male patients. Compared to STEMI, NSTEMI/UA is more prevalent in female ACS patients. Female patients with NSTEMI/UA need special care because they are more likely to die than male patients. Elderly patients and those with diabetes mellitus should receive more cautious care in order to reduce the fatality rates from STEMI. [ABSTRACT FROM AUTHOR]