Features of Acute Coronary Syndrome in Shariati Hospital, Isfahan, Iran in ۲۰۱۷-۲۰۱۸

Introduction: Cardiovascular diseases are the leading cause of death for people worldwide. The purpose of this study was to determine the diagnostic accuracy of acute coronary syndromes assessment by emergency medicine specialists with accordance to the latest guidelines in shariatic hospital of Isfahan.   Methods: This cross-sectional study involved all consecutive patients that assessed in Emergency Department because of cardiac symptoms throughout one year (April ۲۰۱۷ to January ۲۰۱۸). The raw data were analyzed with SPSS software version ۲۳. Results: One hundred and seventy-five patients were included in this study.  Moreover, pain radiation in the left shoulder (p-value=۰.۰۲), cold sweating (p-value=۰.۰۱), obesity (p-value=۰.۰۰), and chronic diseases (p-value=۰.۴۵) recorded more in ACS patients compared to control group. Result showed that the using of nitrate drug leads to significant reduction in pain intensity in ACS patients and make significant higher change in their electrocardiogram (ECG) in comparison to control group. Finally, results indicated that using the troponin test in the final diagnosis, ACS patients showed higher troponin levels compared to control group. Finally, results indicated that using the troponin test in the final diagnosis, ACS patients showed higher troponin levels compared to control group. Conclusion: Patients with a final diagnosis of ACS are older than the control group. Moreover, the retrosternal pain, chest pain, exertional dyspnea, radiating pain in left shoulder or hands and cold sweating were significantly more common in patients with ACS. Based on this, the quick actions relates to ACS should be implemented to improve the diagnostic accuracy in the future.