Mortality related to Acute Coronary Syndrome in the Cardiology Department of CHU Ignace Deen in Conakry

Coronary heart disease is a major cause of mortality and morbidity, particularly in the context of acute coronary syndromes (ACS). The aim of this study is to assess in-hospital mortality related to ACS in the cardiology department of CHU Ignace Deen. Methods This is a 6-month (June 1 - November 31, 2023) longitudinal descriptive study of patients hospitalized for ACS at CHU Ignace Deen. Results Of the 388 patients hospitalized, 69 (17.78%) had ACS, the majority men (53.9%) with an average age of 58.8 years. The main risk factors were hypertension (78.3%), advanced age (52.2%) and smoking (29%). Chest pain (95.7%), palpitations (75.4%) and dyspnea (62.3%) were the dominant symptoms. Persistent ST-segment elevation ACS accounted for 94.2% of cases. Troponin was positive in 19% of patients, and cardiac kinetic abnormalities were observed in 34.8%. The recorded mortality rate was 15.9%, with sudden death and heart failure the main causes of death. Conclusion The high prevalence of ACS at CHU Ignace Deen, with notable mortality, is linked mainly to heart failure and sudden death.