Abstract

A COMPARATIVE STUDY ON PREVALENCE, CLINICAL SCENARIO, TREATMENT PATTERNS AND QUALITY OF LIFE IN STEMI AND NSTEMI PATIENTS

Oruganti Sai Vinod Kumar*, Gowri Ganesh, Dr. C. Venkatesh, Dr. Raghavendra Cheruku, Dr. N. M. Vageesh

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Abstract

Aim: The aim of this study to compare the prevalence, clinical scenario, treatment patterns and quality of life in STEMI and NSTEMI patients. Objectives: To determine the prevalence of STEMI and NSTEMI in the target population over a defined period. To describe the clinical scenario & treatment patterns of STEMI & NSTEMI patients. To assess the quality of life in STEMI & NSTEMI patients using validated WHOQOL-BREF tools. Methodology: A Prospective observational study was conducted over a period of 6 months in department of cardiology in Gemcare kamineni hospital, Kurnool. Patients were enrolled based on inclusion and exclusion criteria. The patient data collected with the standard proforma. The patient’s data collected was categorized into two groups according to the study. Results: STEMI was more prevalent than NSTEMI, especially in younger males, while NSTEMI was common in older patients with comorbidities. STEMI patients presented with more typical and severe symptoms, leading to quicker hospital arrival and more immediate interventions like PCI. NSTEMI patients often had delayed presentation and were managed more conservatively at first. Both groups received similar medications, but STEMI patients showed better quality of life at follow-up due to faster treatment and fewer underlying conditions. Conclusion: STEMI and NSTEMI are both serious acute coronary syndromes but differ significantly in patient demographics, treatment approaches, and post-recovery outcomes. STEMI patients, typically better quality of life. In contrast, NSTEMI patients, often older with more comorbidities, require a more cautious treatment approach and tend to report lower physical and emotional health outcomes post-discharge.

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