1. Introduction Methods Results Conclusions
Acute Coronary Syndrome in Women of reproductive age group, a single tertiary care study
Dr. Sunil Roy, Dr. Warkaa Alshamkhani, Dr. Nagham Saeed, Dr. Anil Kumar
Introduction
.Angiographic profile:
LAD was observed as culprit lesion in 5 patients (33.3%)
RCA was observed as culprit lesion in 2patients (13%)
None of the patients had LCX as a culprit vessel.
Two patients had aberrant RCA as risk factor for acute coronary syndrome.
Single vessel disease observed in 4 (26.66%)
Double vessels in 2(13%)
Only one case had triple vessel disease and advised for CABG
One did not wish to do angiography and was managed conservatively
Majority of the cases 7(46%) had normal or minimal disease
Most common cause of death in women worldwide is coronary artery disease (CAD). CAD in women has different presentations, risk factor profile and angiographic profile as compared with men. The dissimilarities in the risk factor profile are more obvious in the young age groups as compared with the older age groups. The objective of this study was to assess the risk factor profile, clinical presentation and angiographic profile of acute coronary syndrome occurring in young women of reproductive age group
Methods
Ethnic distribution
Data were collected from patients admitted at Belhoul specialty hospital from January 2008 to December Women lower than 45 year-old with acute coronary syndrome were selected. Their clinical presentation, risk factor profile, angiographic profile, and the clinical outcomes were analyzed for the present study
Angiographic profile
CHART or PICTURE
Results
Total of 624 patients admitted to the CICU with Acute coronary syndrome (ACS)
35 (5.6%) were females.
Presentation profile:
15 (42.8%) were below 45 years of age.
11 (73.3%) NSTEMI , 4 (26.6%) STEMI
Risk factors profile:
Hypercholesterolemia observed in 6 (40%)
Diabetes mellitus in 3(20%)
Hypertension in 6(40%)
One patient has high LP (a), another patient has hyperhomocysteinemia
None of the patient has history of smoking or oral contraceptive intake.
Conclusions
ACS is rare in women of reproductive age group. DM, hypertension and Hypercholesterolemia were seen as risk factor in 53% of patients, smoking is rare and single vessel disease was common than multi-vessl disease. Unconventional risk factors were seen more commonly in this group. ACS in young women should alert the search for more unconventional risk factors.
Bibliography
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