IJCM_178A: Clinico-epidemiological profile of Acute Coronary Syndrome (ACS) patients in tertiary care hospitals of Mangalore

Background: Global health agencies have recognized the rising threat of non-communicable disease (NCD) as a major contributor to preventable disease and premature mortality in low- and middle-income countries. This study was done to study the Clinico-epidemiological and socio-demographic profile of Acute Coronary Syndrome (ACS) patients admitted in the selected tertiary care hospitals of Mangalore. Methodology: This record-based retrospective study was conducted in tertiary care hospitals affiliated to Kasturba Medical College, Mangalore. The records of all the ACS patients who were admitted to the hospitals during the study period were included in the study Results: There was a total of 646 patients, who were admitted with signs and symptoms of ACS to the study hospitals. Among them, 72% were from Dakshina Kannada District and 41.5% (n=258) were residents of Mangalore. Overall, the highest proportion (90.7%) of subjects was in the 41-80 years of age group and 80% of the study population was consuming a predominantly non-vegetarian diet, among both genders. Among the females, 84% were semiskilled workers and half of the male subjects were Professionals. The most common presenting clinical feature among the ACS patients was chest pain (81.4%), both among males (82.2%) and females (80%). Conclusion: The majority of the ACS patients admitted to the study hospitals were residents of the same District. The levels of ACS were higher among males, those with Diabetes Mellitus and hypertension. The majority of the ACS patients were non-vegetarians. Also, the increasing age had a higher proportion of ACS.