RISK FACTORS PROFILE AND OUTCOME OF PATIENTS PRESENTING WITH ACUTE CORONARY SYNDROME TO A PERIPHERY HOSPITAL

Objective: To study various clinical and biochemical factors which are found in patients with acute myocardial infarction Methodology: This was cross sectional study performed in DHQ hospital Timergara, Dir from 1st January to 31st December, 2017. All patients presented with acute myocardial infarction were studied. Detailed history and physical examination was done to look for important risk factors and their frequency. Data was analysed using SPSS version 20. Results: Total 331 patients were studied. Mean age was 63 +/- 9 years. Males were 58.9%, ST elevation myocardial infarction (STEMI) patients were 261(78.85%), while 70 (21.14%) patients were admitted as Non ST elevation myocardial infarction (NSTEMI)., Hypertension was found in 171 (51.7%), diabetic patients were 107 (32.3 %), Hypercholestrolemia was found in 37 %, obesity in 30 %, family history of CAD in 35 %, and smoking was documented in 15 %. Conclusion: Hypertension, diabetes mellitus, male gender, hypercholestrolemia, obesity and family history of coronary artery disease are major risk factors in patients presenting as myocardial infarction.