A Consecutive Series of all Sub types of the Acute Coronary Syndrome Patient Admitted to an Academic Coronary Care Unit
A Consecutive Series of all Subtypes of the Acute Coronary Syndrome Patient Admitted to an Academic Coronary Care Unit
Atherosclerosis: Open Access is an open access, peer-reviewed journal that focuses and welcomes submissions on all aspects of Coronary Heart disease, Stroke, Peripheral Arterial Disease, Chronic Kidney Disease, arteriosclerosis, Coronary Atherosclerosis, intracranial atherosclerosis etc.
It gives us great pleasure to announce the call for paper on the occasion of 10th Anniversary of the Journal at special and hefty discount of up to 50 % on one-time article processing charge. Prospective academicians and scientists are encouraged to utilize this opportunity to get their articles reviewed, processed and published at relatively faster pace and at lower charges. In addition to this, the authors who publish with us during the year-long celebrations will also be eligible for academic awards recommended by the editorial panel.
The Archive page contains wide variety of articles such as Research / Review / Case reports / short communication / Mini review / Prospective / Letter to Editors Etc. We would like introduce a Research article which has been spread to the widest audience of experts; and thus increased in readership, citations and altimetry score.
Abstract: Little is known of the in-hospital management and outcomes of consecutive acute coronary syndrome (ACS) patients admitted to an academic coronary care unit (CCU). We therefore surveyed the characteristics, in hospital management and complications in an unselected ACS cohort. In this retrospective observational cohort study we analysed 567 consecutive ACS patients, divided in subgroups of ST-segment elevation myocardial infarction (STEMI) (n=369), non-STEMI (NSTEMI) (n=129) and unstable angina (UA) (n=69), admitted to our CCU. An invasive strategy was chosen in 93.8% of ACS patients (STEMI 98.1%, NSTEMI 85.3%, UA 87.0%, p<0.001). NSTEMI patients with a GRACE risk score >140 compared to ≤140 were less frequently treated with percutaneous coronary intervention (PCI) (50.0% vs.70.2%, p=0.024) and more frequently with coronary artery bypass grafting (CABG) (20.5% vs. 3.6%, p=0.002). Overall in-hospital mortality was 3.2% (1.8% at discharge from the CCU). Thirty-day and one-year mortality were 4.9% and 8.5% respectively. In-hospital (re)infarctions occurred in 1.8%, stroke in 1.6% and major bleeding in 3.4% of patients. Major adverse cardiac and cerebrovascular events (MACCE) occurred in 4.9% and net adverse clinical events (NACE) in 6.9%. Age, female gender, previous stroke and chronic kidney disease (CKD) were associated with higher one-year mortality. Our consecutive and unselected ACS cohort comprised 65.1% STEMI, 22.8% NSTEMI and 12.2% UA patients. Independent of ACS subtype and GRACE risk score about 90% of patients were treated by an invasive strategy. Age, female gender, previous stroke and CKD were associated with higher one-year mortality.
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Atherosclerosis: Open Access