• Users Online: 396
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
Year : 2022  |  Volume : 24  |  Issue : 2  |  Page : 176-179

Profile of acute coronary syndromes in serving personnel presenting to a field cardiology center without cath lab facilities

1 Department of Cardiology, Base Hospital, New Delhi, India
2 Department of Cardiology, AHRR, Director General, Armed Forces Medical Services, New Delhi, India
3 Department of Cardiology, CHAF, Bengaluru, Karnataka, India
4 Department of Internal Medicine, 11 Air Force Hospital, Ghaziabad, Uttar Pradesh, India
5 Department of Internal Medicine, Military Hospital, Shimla, Himachal Pradesh, India
6 Department of Internal Medicine, AFMC, Pune, Maharashtra, India

Correspondence Address:
Dr. Sqn Ldr Neel Kanth Issar
Department of Internal Medicine, 11 Air Force Hospital, Hindan, Ghaziabad, Uttar Pradesh
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_40_22

Rights and Permissions

Introduction: Acute coronary syndrome (ACS) is common in serving personnel and requires prompt diagnosis and treatment. This retrospective study was done to see the profile of ACS in serving personnel presenting to a tertiary hospital without cardiac catheterization laboratory (CCL) facilities. Methods: ACS was diagnosed based on an electrocardiogram (ECG), clinical features, and cardiac biomarkers. History of comorbidities, risk factors, and preceding exertion was taken. Immediate medical management was done as per the standard guidelines, and follow-up angiography was done at a dependent cardiology center with CCL. Results: A total of 75 personnel reported with ACS. The mean age of personnel was 42.01 ± 8.59 years. Acute ST-elevation myocardial infarction (STEMI) was noted in 48% (36/75) of the patients, 32% (24/75) had non-STEMI, and 20% (15/75) had unstable angina (UA). Low ejection fraction was more common in patients with STEMI (P ≤ 0.001). History of preceding exertion was noted in 55 personnel. Eighteen patients with STEMI were thrombolysed. Angiographically significant lesions were noted only in 30.6% (23/75) individuals with ACS. Conclusion: ACS is common in deployed serving personnel. The most common precipitators were immediate preceding exertion and smoking. Morbidity and mortality due to ACS can be decreased by digital transmission of ECG, prehospital thrombolysis, graded physical exertion, and counseling about a healthy diet.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded28    
    Comments [Add]    

Recommend this journal