Sociodemographic and clinical features of patients diagnosed with acute coronary syndrome consulting to the emergency department

Abstract

Objectives: The early diagnosis and treatment of patients with acute coronary syndrome in the emergency department is crucial. This study examined the data involving sociodemographic and clinical features of patients diagnosed with acute coronary syndrome. Methods: The study participants included subjects recruited over a four year period with the diagnosis of acute coronary syndrome in the emergency department. Patients' gender, age, complaints, histories, diagnoses, and results were obtained and evaluated. Results: Most of the subjects in the study were males with histories of consisting of hypertension, coronary artery disease, and diabetes mellitus. The mean age of subjects was 52.4±9.4 years, and the most common time patients registered were between either 05:00-08:00 or 17:00-20:00. Most visits occurred during the weekends and the month of December. The most common complaint was chest pain (72.6%), and the subjects average duration at the emergency department was 2.5±2.4 hours. The most common diagnosis for both genders was UA, and it was found that the diagnosis of non-ST elevation MI increased as patients age increased. The diagnosis of UA was more prevelant in females when compared to males (p<0.005). The duration of stay for patients diagnosed with ST elevation MI in the emergency department was shorter when compared to others (p<0.001). Conclusions: Due to the small number of cases, making an accurate generalization is impossible. However, it is thought that studies that aim to define risk goups for our country can be applied to a large number of participants, which can help doctors in the emergency department.