دورية أكاديمية
Long Term Follow up of CT Angiography in Low to Intermediate Risk Patients of Suspected Acute Coronary Syndrome (ACS)
العنوان: | Long Term Follow up of CT Angiography in Low to Intermediate Risk Patients of Suspected Acute Coronary Syndrome (ACS) |
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المؤلفون: | Fahd Ur Rahman, Mohsin Saif, Bilal Siddiqiue, Shoaib Iqbal Safi, Mutahir Abbas, Sikandar Azam Khan, Zohair Aziz, Naseem Azad, Sana Sarfraz, Maida Anwar |
المصدر: | Pakistan Armed Forces Medical Journal, Vol 72, Iss SUPPL-3 (2022) |
بيانات النشر: | Army Medical College Rawalpindi, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Medicine LCC:Medicine (General) |
مصطلحات موضوعية: | Acute coronary syndrome, Coronary artery disease, CT-Angiography, Coronary angiography, Exercise tolerance test, Myocardial infarction, Medicine, Medicine (General), R5-920 |
الوصف: | Objective: To assess long term outcomes of CT Angiography in low to intermediate risk patients of suspected ACS and to assess if CT-angiography is a safe modality to discharge patients with clinically non-significant coronary artery disease. Study Design: Descriptive cross-sectional study Place and Duration of Study: Tertiary Cardiac Center in Rawalpindi, from Dec 2021 to Apr, 2022. Methodology: A total of (n=600) patients who presented with ischemic sounding chest pain and suspicion of acute coronary syndrome (ACS) were selected via consecutive sampling technique and were followed up to 5-months. Patients' demographics, CT-Angiography findings and their outcomes were noted on data collection sheet. Data was analyzed by SPSS version-23. Descriptive statistics were run to present categorical data in frequencies and percentages. Chi-square and Fisher Exact Test was applied to find the association between study variables at 95% CI and 5% margin of error (α=5%). Results: Out of (n=600) suspected cases of acute coronary syndrome (ACS), n=352 (58.7%) were males and n=248 (42.3%) were females. As a result of follow-up of the ptaients, cases that represented in emergency department, readmission cases and revascularized cases were (n=10,4, 1;1.7%, 0.7%, & 0.2%) respectively. Frequency of ACS and STEMI patient was 0.0%. Mortality rate was 0.0%. There was significant association of comorbids with CT-angiography findings and the findings with outcome variables (p0.05). Conclusion: In low to intermediate risk patients of suspected ACS, discharge decision from emergency department based on CT-angiography findings is safe and shows excellent long-term outcomes with no major adverse cardiac event (MACE) on long-term follow-up. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 0030-9648 2411-8842 |
Relation: | https://pafmj.org/index.php/PAFMJ/article/view/9531; https://doaj.org/toc/0030-9648; https://doaj.org/toc/2411-8842 |
DOI: | 10.51253/pafmj.v72iSUPPL-3.9531 |
URL الوصول: | https://doaj.org/article/cfe1cca862a84186839e5d5e6c34abfa |
رقم الأكسشن: | edsdoj.fe1cca862a84186839e5d5e6c34abfa |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 00309648 24118842 |
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DOI: | 10.51253/pafmj.v72iSUPPL-3.9531 |