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Table 4 Distribution of conventional cardiovascular risk factors according to all ACS, by STEMI or UA/ NSTEMI

From: Management of acute coronary syndrome in emergency departments: a cross sectional multicenter study (Tunisia)

 

ALL ACS (n = 566)

STEMI (n = 146)

UA/NSTEMI (n = 420)

Variables

N (%)

OR* [CI95%]

N (%)

OR** [CI95%]

N (%)

OR*** [CI95%]

Cardiovascular risk factors type

 Not modifiable CVRF

  

146

 

420

 

  A/Age correlated with gender

336 (59.4)

1.71 [1.29–2.27]d

90 (61.6)

2.55 [1.61–4.06]d

243 (57.9)

1.47 [1.07–2.02]e

  B/Vascular personal history

255 (45.1)

 

35 (24.0)

 

210 (50.0)a

 

   Coronary personal history

210 (37.1)

1.87 [1.34–2.59]d

24 (16.4)

0.64 [0.36–1.14]

184 (43.8)a

2.55 [1.79–3.64]d

   Peripheral arterial history

38 (6.7)

 

6 (04.1)

 

31 (7.4)

 

   Stroke

50 (8.8)

 

9 (06.2)

 

40 (09.5)

 

   Revascularization

145 (25.6)

 

13 (08.9)

 

131 (31.2)a

 

Modifiable and direct CVRF

 C/Treated HTA

300 (53.0)

1.23 [0.91–1.68]

65 (44.5)

1.08 [0.66–1.75]

232 (41.8)

1.26 [0.90–1.75]

 D/Treated Diabetes type 2

248 (43.8)

2.04 [1.49–2.80]d

51 (34.9)

1.30 [0.76–2.21]

195 (52.4)b

2.34 [1.67–3.28]d

 E/Active smoking

262 (46.3)

1.50 [1.14–2.00]e

81 (55.5)

2.51 [1.63–3.84]d

178 (36.6)b

1.18 [0.86–1.60]

 F/Treated Dyslipidemia

162 (28.6)

0.81 [0.57–1.15]

29 (19.9)

0.77 [0.43–1.37]

132 (44.1)b

0.78 [0.53–1.14]

Modifiable and indirect CVRF

 G/ Obesity

147 (26.0)

1.18 [0.84–1.65]

34 (23.3)

1.02 [0.58–1.73]

111 (39.6)

1.21 [0.84–1.74]

 Patients treated by CEI

192 (33.9)

0.72 [0.53–0.97]d

35 (24.0)

0.56 [0.33–0.93]d

157 (37.4)a

0.77 [0.52–1.14]

Sum of CVRF

 0

39 (6.9)

1,00

10 (6.8)

1,00

29 (06.9)

1,00

 1

105 (18.6)

2,36 [1.52–3.67]d

34 (23.3)

3,24 [1.55–6.79]d

68 (16.2)

2,05 [1.25–3.38]d

 2

130 (23.0)

3,28 [2.12–5.08]d

37 (25.3)

3,64 [1.73–7.65]d

93 (22.1)

3,15 [1.94–5.13]d

 3

119 (21.0)

3,59 [2.29–5.62]d

31 (21.2)

3,65 [1.71–7.80]d

88 (21.0)

3,57 [2.17–5.86]d

 4

96 (17.0)

4,48 [2.77–7.22]d

16 (11.0)

2,91 [1.25–6.77]f

80 (19.0)

5,02 [2.98–8.44]d

 5

49 (08.7)

4,57 [2.58–8.08]d

10 (06.8)

3,64 [1.39–9.47]e

39 (09.3)

4,89 [2.64–9.05]d

 6

19 (03.4)

4,50 [2.04–9.93]d

3 (02.1)

2,77 [0.67–11.36]

16 (03.8)

5,09 [2.21–11.76]d

 7

6 (01.1)

9,23 [1.79–47.61]e

2 (01.4)

 

4 (01.0)a

8,28 [1.45–47.39]f

  1. Chi 2 pearson test (STEMI vs UA/NSTEMI): ap value < 10−3; b:p value <0.005
  2. Binary logistic analysis*: All SCA vs All chest pain; **All STEMI vs All chest pain: ***: All UA/NSTEMI. vs All chest pain; d: p value < 0.001; e:p value < 0.005; f:p value < 0.05
  3. ACS Acute coronary syndrome, UA/NSTEMI unstable angina/non-ST-segment-elevation myocardial infarction, CVRF cardiovascular risk factors, STEMI ST segment elevation myocardial infarction, OR Odds Ratio, HTA Hypertension, CEI converting enzyme inhibitors