Riadh Allani
Cardiovascular Diseases Epidemiology and Prevention Laboratory , Tunisia
Title: Epidemiological characteristics of acute coronary syndrome: a Tunisian prospective multicenter study about 1178 patients
Biography
Biography: Riadh Allani
Abstract
Tunisia shows up lifestyle mutations with demographic, nutritional and epidemiological transition marked by the increase of cardiovascular diseases (CVD) which becoming the leading cause of death. This study aimed to identify the epidemiological profile of patients admitted for acute coronary syndrome (ACS). Tunisian Epidemiological Study on ACS "TEPS-ACS 2009-2010" was the data source of our research. It was a prospective multicenter inpatient study including 1178 patients admitted for ACS in cardiology units in Tunis District centers during the period from July 2009 to June 2010. Data was analyzed using Version 11.5 SPSS software. Results were expressed as percentage for categorical variables. Comparisons of proportions were made by the chi-square test and those averages by Student t test and ANOVA. Patients were predominantly male (sex ratio = 2.57), illiterate in 70% and with a mean age of 61 ± 12 years. ACS was mainly observed from 45 year old in men and decreased from 65 year old. This distribution appears later in women with a delay of ten years (p<0.0001). Family previous ACS (24.9%) and stroke (9.6%). Personal previous ischemic heart diseases; angina (27.4%), myocardial infarction (14.2%) and a stroke (9.1%). Coronary risk factors (CRF) were dominated by tobacco (64.6%), hypertension (47.6%), diabetes (42.8%), dyslipidemia (27.5%) and obesity (19.9 %). Despite the absence of any known CRF, 14.2% developed an ACS. However 25.4% had three CRF. Prevalence of modifiable risk factors exhibits an increasing trend among ACS patients. The measures within the scope of primordial and primary prevention reduce the CRF.