Author(s): Treesa P. Varghese, L. Panayappan, K. Krishnakumar, Lincy George.
Cardiovascular diseases are the leading cause of death globally; representing 30% of all global death. Coronary artery disease has assumed epidemic proportions in India. Several modifiable and non mo difiable risk factors have been documented in Indian population. The aim of work is to study about the risk factors, angiographic severity and their correlation with segment elevated myocardial infarction (STEMI) and Non ST segment elevated myocardial infarction (NSTEMI) in patients with acute coronary syndrome (ACS). A prospective study was carried out to identify the risk factors angiographic severity in acute coronary syndrome including S T elevation and non S T elevation myocardial infarction. Patients meeting the inclusion criteria were studied with detailed history and investigation along with angiographic assessment of coronary lesions. This study showed a significant male predominance. Patients with STEMI were slightly younger at presentation than those with NSTEMI. Hypertension and dyslipidemic were seen to be significantly higher amongst NSTEMI subjects compared to STEMI subjects. Regarding angiographic severity single vessel disease was more associated with STEMI and mild Cardio vascular disorders (CVD) was more associated with NSTEMI that was found to be statistically significant. Double vessel diseases are more associated with STEMI and triple vessel disease more associated with NSTEMI but, they were not significant statistically. Key Words: Acute Coronary Syndrome; Risk Factors