MỐI LIÊN QUAN GIỮA DỊCH TỄ, LÂM SÀNG, CẬN LÂM SÀNG VỚI KẾT QUẢ ĐIỀU TRỊ HỘI CHỨNG VÀNH CẤP TẠI BỆNH VIỆN ĐA KHOA TỈNH TRÀ VINH

Abstract

Objective: To analyze the relationship between epidemiological, clinical, and paraclinical factors with treatment outcomes of acute coronary syndrome at Tra Vinh Province General Hospital. Materials and methods: A cross-sectional study was carried out from March 2020 to September 2020 on 121 patients diagnosed with ACS at Tra Vinh General Hospital. Results: There was a positive correlation between mortality and symptoms of tachypnea; between symptoms of dyspnea, moist rales in the lungs, tachypnea and complications of the disease, the difference was statistically significant (p<0.05). There is an association between hypertension with mortality; between Killip class and complication rate (p < 0.05). The survival rate in patients without cardiogenic shock was 91.7%, higher than in patients with cardiogenic shock, 8.3%. The survival rate in patients with EF > 40% accounted for a higher rate than in patients with EF ≤ 40% (p < 0.01). The mean glomerular filtration rate (eGFR) was lower in the mortality group than in the survival group (p = 0.05). The mean troponin and mean creatinine were higher in the group with complications than in the group without complications (p<0.05). Conclusions: there was a correlation between factors such as age, symptoms of dyspnea, wet rales, tachycardia, elevated troponin and increased blood creatinine with the occurrence of ACS complications. In addition, patients with factors such as tachypnea, cardiogenic shock, high Killip grade, and EF < 40% had a higher mortality rate.