DYSLIPIDEMIA IN ACUTE CORONARY SYNDROME

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BEYRANVAND M.R.; ASADPOUR PIRANFAR M.

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Journal: Researcher Bulletin of Medical Sciences Year:2007 | Volume:11 | Issue:6 (54) Page(s): 377-384

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Title

DYSLIPIDEMIA IN ACUTE CORONARY SYNDROME

Author(s)

BEYRANVAND M.R. | ASADPOUR PIRANFAR M. | Issue Writer Certificate

Keywords

ACUTE CORONARY SYNDROMEQ3

ACUTE MYOCARDIAL INFARCTIONQ3

UNSTABLE ANGINAQ3

Abstract

Background: ACUTE CORONARY SYNDROME (ACS), which ranges from ST- segment elevation myocardial infarction (STEMI) and non- ST-segment elevation MI (NSTEMI) to UNSTABLE ANGINA (UA) is a major reason for hospitalization in the United States. Cardiovascular diseases are the leading causes of mortality in Iran (46% of all deaths). The great majority of coronary heart disease (CHD) patients have at least one major risk factor. Dyslipidemia has been identified as one of the most important modifiable risk factors for coronary heart disease.The aim of stady was to evaluate the frequency of dyslipidemia in ACS patients according to National Cholesterol Education Program Adult Treatment Panel III guidelines (NCEP-ATP III). Material and Methods: We performed a descriptive survey of patients admitted in cardiac ward of Loghman hospital from November 2003 to March 2004. In this period of time 611 patients admitted with the primary diagnosis of ACUTE CORONARY SYNDROME. Their lipid profile measured at the first 24 hours of their admission.Results: Their final diagnoses were ACUTE MYOCARDIAL INFARCTION in 32%, Possible UNSTABLE ANGINA in 26%, definite/probable UNSTABLE ANGINA in 22% and non cardiac chest pain in 20%. Patients with the final diagnosis of ACUTE CORONARY SYNDROME were 490 persons with the mean age of 61±2.2 year and 50.6 precent of them were female. Their mean total cholesterol was 214.4±53.8 mg/dl, mean triglyceride was 181.8±122.2 mg/dl, mean HDL-C was 47.1±14.3 mg/dl and mean LDL-C was 132.8±43.8 mg/dl. ACS patients had dyslipidemia in 61.8% and only 18.2% had normal serum lipids. Mean total cholesterol, mean triglyceride and mean LDL-C were significantly higher in women than men (p<0.001, p=0.037, p<0.001 respectively).Great majority (90.5%) of ACS patients had at least one of the major CHD risk factors and only 6.3 precent had LDL-C<70 mg/dl.Conclusion: Dyslipidemia is prevalent in ACS patients and ought to be diagnosed and treated immediately.

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APA: Copy

BEYRANVAND, M.R., & ASADPOUR PIRANFAR, M.. (2007). DYSLIPIDEMIA IN ACUTE CORONARY SYNDROME. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), 11(6 (54)), 377-384. SID. https://sid.ir/paper/18201/en

Vancouver: Copy

BEYRANVAND M.R., ASADPOUR PIRANFAR M.. DYSLIPIDEMIA IN ACUTE CORONARY SYNDROME. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH)[Internet]. 2007;11(6 (54)):377-384. Available from: https://sid.ir/paper/18201/en

IEEE: Copy

M.R. BEYRANVAND, and M. ASADPOUR PIRANFAR, “DYSLIPIDEMIA IN ACUTE CORONARY SYNDROME,” RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH), vol. 11, no. 6 (54), pp. 377–384, 2007, [Online]. Available: https://sid.ir/paper/18201/en

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