FREQUENCY OF CARDIOGENIC SHOCK IN PATIENTS PRESENTING WITH NSTEMI AND YOUNGER THAN 45 YEARS OF AGE

Abstract

Objective: The objective of this study was to assess the frequency of cardiogenic shock in patients of younger than 45 years of age presenting with NSTEMI.

Methodology: A hospital based Cross sectional study has been conducted in a tertiary hospital of Isra University Hospital, Hyderabad in the Department of Cardiology. This study was started in September 2017 and completed on March 2019 and recruited a total of 321 patients NSTEMI patients having age less than 45 years of either gender to determine the burden of cardiogenic shock during hospitalization. Baseline and clinical data were recorded in a pre-structured questionnaire and analyzed using Statistical Package for the Social Sciences (SPSS) version 21.0.

Results: Out of total 321 patients the mean age of admitted NSTEMI patients was 37.34 ± 6.19 years and among them male predominance was prevalent (72.8%, N = 234). The overall burden of cardiogenic shock in our study subjects was 19(5.9%). Male gender, cigarette smoking, diabetes mellitus, chronic kidney disease, and increased mean duration of hospital stay were significantly associated with cardiogenic shock in patients admitted with NSTEMI as compared to patients admitted without cardiogenic shock (p<0.05).

Conclusion: Our study shows that overall burden of cardiogenic shock is higher in patients with younger age group when they are diabetic, had underlying chronic kidney disease, and increased duration of hospital stay.