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Acute coronary syndrome

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Patients are at increased risk of dying, having an MI or requiring revascularisation with:
  • male sex a b
  • increasing age a b  
  • diabetes mellitus a b
  • hypertension b

Why?

Male sex, increasing age and diabetes increase the risk of dying or infarction

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
unstable angina  a male
independent
death, MI or revascularisation
at 6 months
42% 2.7
(1.8 to 4.1)
10
(6 to 20)
unstable angina or non-Q wave MI b age >65 years 
independent
death
at 6 weeks
2.1% 2.34
(1.11 to 4.96)
740
(14 to 450)
unstable angina a diabetes mellitus
independent 
death or MI
at 6 months
7.6% 2.19
(1.25 to 3.83)
13
(6 to 58)

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   I K   Jang
CAT Writers   N   Shenker , CJ   Wotton , CM   Ball , RS   Phillips