Sociodemographic and Clinical Profile of Coronary Artery Disease at a Tertiary Care Centre: A Prospective Study

Introduction: By 2020, coronary artery disease (CAD) will rank #1 among the primary causes of disability and the world's leading cause of mortality. Death rates have been rising in India for the past three decades, while they have been declining in the west. Over the previous three decades, the prevalence of CAD has increased: in rural regions, it went from 2.1% to 3.7%, and in metropolitan areas, it went from 1.1% to around 7.5%. Methods: The study was conducted in the Department of Medicine at Dr RPGMC, Tanda. It was prospective, study. It included patients of either sex admitted in medicine department in between the period from April 2017 to August 2018 with diagnosis of acute coronary Syndromes. Results: The mean age of study participants was 45.72±12.02 years.64% of participants were male and 36% of participants were female. Most of the patients was overweight (52%). Diabetes was the most common risk factor followed by hypertension and smoking.78% of patients had family history. Chest pain (90%) was the most common symptoms followed by Breathlessness (70%), Sweating (74%), Palpitation (52%), Giddiness (34%%), Vomiting (14%), and Abdominal pain (10%).74% of patients had nuclear family and remaining 26% of patients had joint family. Conclusion: The most frequent presentation was STEMI. The vessel most frequently involved was LAD. The majority of our ACS population was male. Smoking and hypertension were the two most common risk factors. Compared to non -diabetics, diabetics experienced a more aggressive disease course with greater rates of morbidity and mortality.