KHẢO SÁT SỰ BIẾN ĐỔI CHỈ SỐ LIPID MÁU Ở BỆNH NHÂN HỘI CHỨNG MẠCH VÀNH CẤP ĐIỀU TRỊ TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To describe the clinical and subclinical characteristics of patients with acute coronary syndrome treated at Thai Nguyen National Hospital from January 2024 to December 2024. To investigate changes in blood lipid indices in the study subjects. Subjects and Methods: The study was conducted on 86 patients with acute coronary syndrome treated at Thai Nguyen National Hospital. Cross-sectional descriptive study. Results: The average age was 65.98 ± 10.99 years. The male/female ratio was 3.1/1. 80.2% of patients were hospitalized due to chest pain. 61.6% of patients arrived at the hospital within 12 hours. The main risk factor for ACS was hypertension, accounting for 69.8%. The rate of elevated Troponin I hs was 97.7%. Echocardiography showed that 11.6% of patients had a reduced ejection fraction, and 38.4% had regional wall motion abnormalities. The rate of dyslipidemia was 83.7%, with combined dyslipidemia accounting for 65.1%. The rates of disturbances in triglyceride, total cholesterol, HDL-C and LDL-C was 68,1%, 52,8%, 51,4% and 40,3% respectively. The dyslipidemia rate was 86.7% in the non-ST elevation ACS group, and 82.1% in the ST elevation ACS group. The dyslipidemia rate was 80% in patients with ≤01 damaged coronary artery branch, and 85.7% in those with ≥02 damaged branches. Conclusion: Dyslipidemia was common in patients with acute coronary syndrome (83.7%), with a predominance of combined dyslipidemia (65.1%). This rate was high in both the non-ST elevation and ST elevation ACS groups, at 86.7% and 82.1%, respectively. The rate was 80% in patients with ≤ 01 damaged coronary artery branch and 85.7% in those with ≥ 02  damaged branches.