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SUMMARY OBJECTIVE: History, electrocardiogram, age, risk factors, troponin risk score and troponin level follow-up are used to safely discharge low-risk patients with suspected non-ST elevation acute coronary syndrome from the emergency department for a 1-month period. We aimed to comprehensively investigate the 6-month mortality of patients with the history, electrocardiogram, age, risk factors, troponin risk score. METHODS: A total of 949 non-ST elevation acute coronary syndrome patients admitted to the emergency department from 01.01.2019 to 01.10.2019 were included in this retrospective study. History, electrocardiogram, age, risk factors, troponin scores of all patients were calculated by two emergency clinicians and a cardiologist. We compared the 6-month mortality of the groups. RESULTS: The mean age of the patients was 67.9 (56.4–79) years; 57.3% were male and 42.7% were female. Six-month mortality was significantly lower in the high-risk history, electrocardiogram, age, risk factors, troponin score group than in the low- and moderate-risk groups: 11/80 (12.1%), 58/206 (22%), and 150/444 (25.3%), respectively (p=0.019). CONCLUSION: Patients with high history, electrocardiogram, age, risk factors, troponin risk scores are generally treated with coronary angioplasty as soon as possible. We found that the mortality rate of this group of patients was lower in the long term compared with others. Efforts are also needed to reduce the mortality of moderate and low-risk patients. Further studies are needed on the factors affecting the 6-month mortality of moderate and low-risk acute coronary syndrome patients. OBJECTIVE History electrocardiogram followup follow up lowrisk low nonST non ST 1month month 1 period 6month 6 history METHODS 94 01012019 01 2019 01.01.201 01102019 10 01.10.201 study cardiologist groups RESULTS 679 67 9 67. 56.4–79 56479 56 4 79 (56.4–79 years 573 57 3 57.3 427 42 7 42.7 female Sixmonth Six highrisk moderaterisk 1180 11 80 11/8 12.1%, 121 12.1% , 12 (12.1%) 58206 58 206 58/20 22%, 22 22% (22%) 150444 150 444 150/44 25.3%, 253 25.3% 25 (25.3%) p=0.019. p0019 p p=0.019 . 0 019 (p=0.019) CONCLUSION possible others 0101201 201 01.01.20 0110201 01.10.20 56.4–7 5647 5 (56.4–7 57. 42. 118 8 11/ 12.1 (12.1% 5820 20 58/2 2 (22% 15044 15 44 150/4 25.3 (25.3% p001 p=0.01 (p=0.019 010120 01.01.2 011020 01.10.2 56.4– 564 (56.4– 12. (12.1 582 58/ (22 1504 150/ 25. (25.3 p00 p=0.0 (p=0.01 01012 01.01. 01102 01.10. 56.4 (56.4 (12. (2 (25. p0 p=0. (p=0.0 0101 01.01 0110 01.10 56. (56. (12 ( (25 p=0 (p=0. 010 01.0 011 01.1 (56 (1 p= (p=0 01. (5 (p= (p