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    Comparison of clinical fatures and transport times in patients with acute coronary syndrome according to classification of acute coronary syndrome
    (Duzce University Medical School, 2011) Baltaci, Davut; Öztürk, Serkan; Durmuş, Ismet; Kandiş, Hayati; Çelik, Şükrü
    Aim: Aimed to investigate clinical features in patients with acute coronary syndrome according to acute coronary syndrome classes. Materials and Methods: This cross-sectional study was conducted in coronary unit of a university hospital, applying structured study survey to patients who were hospitalized for acute coronary syndrome (ACS). With study survey, clinical and socio-demographic features along with transportation data of patients were interrogated. Findings: The study included 152 subjects with average age of 60.74±12.43 years between 34-88 yrs (Male=112, female=39). Whereas majority of patients were ST-segment elevation myocardial infarction (n=114, 74.5%), remaining 37 had non-ST-segment elevation myocardial infarction (24.5%). Education level of majority in the study were primary school or under. Rate of smoking was detected as high (n=84, 55.6%). 84.5% of subjects (n=128) defined typical anginal chest pain. 36.6% of patients (n=55) expressed that they were at rest at onset of ACS. Pre-infarct angina was detected in 92 patients (60.9%). Onset of acute coronary syndrome was usually seen in morning and evening time (n=45, 29.8%; n= 46, 30.5 % respectively). Mean of age in patients with STEMI was lower than in NSTEMI (59.2 ±12.0; 65.5±13.3), and femaleto- male ratio in patients with NSTEMI was greater than in STEMI (13/24 versus 88/26). Atypical chest pain was significantly higher in patients with NSTEMI (p=0.03). Previous MI in patients with NSTEMI was more in number, compared with STEMI (p=0.019). Co-morbid diseases such as diabetes, hypertension, coronary artery disease were seen more in NSTEMI than in STEMI (p=0.02). Conclusion: some differences in respect of clinical features in STEMI and NSTEMI were shown in our study. © 2011 Düzce Medical Journal.