Short-term complications of acute coronary syndrome (ACS): Mansoura University experience.

Background: In recent years the diagnosis and therapy of acute coronary syndrome (ACS) have improved markedly with a significant decrease in mortality; however, many complications still happen. The present study is designed to detect the shortterm complications of ACS and its correlation with clinical variables and treatment strategies. Methods: This is a prospective clinical study including 152 patients with ACS that was admitted to the cardiovascular department at a specialized medical hospital, Mansoura University during the period between July 2019 to October 2019. We documented the acute in-hospital complications and 1-month outcome. Results: There were 78 cases (51.3%) with no complications and 74 cases (48.7%) with complications. The most frequent complication was heart failure (HF) which was found in 51 cases (33.6%) followed by ventricular tachycardia(VT) in 19 cases (12.5%), shock in 16 cases (10.5%), sinus bradycardia in 12 cases (7.9%), pericardial effusion in 10 cases (6.6%), ventricular fibrillation(VF) in 7 cases (4.6), 1st-degree heart block(HB) in 5 cases (3.3%), right ventricular (RV) infarction and complete HB in 4 cases (2.6%), hypotension and mural thrombus in 3 cases (2%), Mobitz type-2 HB in 1 case (0.7%), left ventricular(LV) aneurysm in 2 cases (1.3%) and 6 cases (3.9%) arrested or died. Conclusions: HF was the most common complication among ACS cases and sinus bradycardia was the most common electrical abnormality. Early treatment and percutaneous coronary intervention (PCI) could improve outcomes and reduce complications. [ABSTRACT FROM AUTHOR]