Gender based differences in in-hospital complications in patients with acute coronary syndrome.

Abstract

Objective: Ischemic heart disease has become the major cause of disease burden worldwide, as measured by disability-adjusted life years. The impact of gender on mortality in acute coronary syndrome patients is unclear. Study Design: Cross-sectional study. Setting: Faisalabad Institute of Cardiology, Faisalabad. Period: 01-01-2022 to 30-06-2022. Methods: objective of the present study was to determine the frequency of in-hospital complications in patients being admitted with acute coronary syndrome and also to compare the prevalence of in-hospital complications between male and female patients presenting with acute coronary syndrome. Results: Among 965 ACS patients (mean age 58.4 ± 11.5 years, range 26–92), most were over 55 years (56.7%), and males constituted 66.6%. STEMI was the most prevalent ACS type (58.1%), followed by NSTEMI (35.9%) and unstable angina (6.0%). STEMI was more common in males (60.7%) compared to females (53.1%), while NSTEMI was more prevalent in females (41.9% vs. 32.8%). Conclusion: This study highlights significant patterns in the presentation, complications, and gender differences among patients with acute coronary syndrome (ACS). These findings underscore the importance of gender-specific approaches in ACS management.