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Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients (SMART) in India.
J Assoc Physicians India. 2017 Jul; 65(7):22-26.JA

Abstract

OBJECTIVE

Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients was undertaken to describe profile and management pattern of adult Acute Coronary Syndrome (ACS) patients from presentation till discharge, in private tertiary care Indian hospitals.

MATERIALS AND METHODS

This was an observational, prospective study. Based on standard criteria, patients were diagnosed to have ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI) or unstable angina (UA). For patients surviving till hospital discharge, demographic characteristics, medical history, time to hospital presentation, investigations, vascular interventions and medical management during the hospital stay were recorded.

RESULTS

In total, 1340 patients with definitive ACS diagnosis and surviving their hospital stay were enrolled. Mean patient age was 58.7 years, 75% were males and 36.9% were diagnosed with STEMI, 8.9% with NSTEMI and 54.2% with UA. 41.9%, 35% and 18.4% patients reached hospital within 6 hours for STEMI, NSTEMI and UA respectively. Pre-existing hypertension and diabetes were observed less frequently in patients with STEMI (54.8%, 31.9%) than in NSTEMI (70.8%, 45.8%) or UA (64.2%, 41.5%). Aspirin, clopidogrel, nitrates, β-Blockers, angiotensin converting enzyme inhibitors and statins were used more frequently in NSTEMI than in STEMI or UA patients. Percutaneous trans-coronary angioplasty was performed more commonly in STEMI (64.2%) than in NSTEMI (41.7%) or UA (41.2%).

CONCLUSIONS

UA is the commonest and NSTEMI is the least common type of ACS observed in our study. We observed important differences in patient profile, time to hospital presentation, in-hospital acute pharmacological management and vascular interventions performed between the three different types of ACS.

Authors+Show Affiliations

Ex- MSD Pharmaceuticals Pvt. Ltd.Ex- MSD Pharmaceuticals Pvt. Ltd.Medical Affairs, MSD Pharmaceuticals Pvt. Ltd., Mumbai, Maharashtra.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

28792164

Citation

Singh, Amit, et al. "Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients (SMART) in India." The Journal of the Association of Physicians of India, vol. 65, no. 7, 2017, pp. 22-26.
Singh A, Singh V, Ranjan R. Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients (SMART) in India. J Assoc Physicians India. 2017;65(7):22-26.
Singh, A., Singh, V., & Ranjan, R. (2017). Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients (SMART) in India. The Journal of the Association of Physicians of India, 65(7), 22-26.
Singh A, Singh V, Ranjan R. Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients (SMART) in India. J Assoc Physicians India. 2017;65(7):22-26. PubMed PMID: 28792164.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients (SMART) in India. AU - Singh,Amit, AU - Singh,Vikram, AU - Ranjan,Rupesh, PY - 2017/8/10/entrez PY - 2017/8/10/pubmed PY - 2018/9/19/medline SP - 22 EP - 26 JF - The Journal of the Association of Physicians of India JO - J Assoc Physicians India VL - 65 IS - 7 N2 - OBJECTIVE: Survey of Assessment and MAnagement of CoRonary Heart Disease PaTients was undertaken to describe profile and management pattern of adult Acute Coronary Syndrome (ACS) patients from presentation till discharge, in private tertiary care Indian hospitals. MATERIALS AND METHODS: This was an observational, prospective study. Based on standard criteria, patients were diagnosed to have ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI) or unstable angina (UA). For patients surviving till hospital discharge, demographic characteristics, medical history, time to hospital presentation, investigations, vascular interventions and medical management during the hospital stay were recorded. RESULTS: In total, 1340 patients with definitive ACS diagnosis and surviving their hospital stay were enrolled. Mean patient age was 58.7 years, 75% were males and 36.9% were diagnosed with STEMI, 8.9% with NSTEMI and 54.2% with UA. 41.9%, 35% and 18.4% patients reached hospital within 6 hours for STEMI, NSTEMI and UA respectively. Pre-existing hypertension and diabetes were observed less frequently in patients with STEMI (54.8%, 31.9%) than in NSTEMI (70.8%, 45.8%) or UA (64.2%, 41.5%). Aspirin, clopidogrel, nitrates, β-Blockers, angiotensin converting enzyme inhibitors and statins were used more frequently in NSTEMI than in STEMI or UA patients. Percutaneous trans-coronary angioplasty was performed more commonly in STEMI (64.2%) than in NSTEMI (41.7%) or UA (41.2%). CONCLUSIONS: UA is the commonest and NSTEMI is the least common type of ACS observed in our study. We observed important differences in patient profile, time to hospital presentation, in-hospital acute pharmacological management and vascular interventions performed between the three different types of ACS. SN - 0004-5772 UR - https://www.unboundmedicine.com/medline/citation/28792164/Survey_of_Assessment_and_MAnagement_of_CoRonary_Heart_Disease_PaTients__SMART__in_India_ L2 - http://www.diseaseinfosearch.org/result/130 DB - PRIME DP - Unbound Medicine ER -