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Table 2 Cardiologic data and treatment during the index hospitalization

From: Clinical characteristics, management, and 5-year survival compared between no standard modifiable risk factor (SMuRFless) and ≥ 1 SMuRF ACS cases: an analysis of 15,051 cases from Pakistan

Variables

Total

SMuRFless

≥ 1 SMuRF

p-value

N = 15051

N = 2267

N = 12784

n (%)

n (%)

n (%)

Standard exercise stress test

275 (17.0%)

29 (14.6%)

246 (17.3%)

0.39

Low*

115 (43.9%)

18 (64.3%)

97 (41.5%)

0.01

Intermediate

43 (16.4%)

5 (17.9%)

38 (16.2%)

 

High

99 (37.8%)

5 (17.9%)

94 (40.2%)

 

Unavailable

5 (1.9%)

0(0%)

5 (2.1%)

 

Stress echocardiogram

350 (21.6%)

44 (22.2%)

306 (21.6%)

0.83

Low*

201 (60.4%)

29 (69.0%)

172 (59.1%)

0.25

Intermediate

43 (12.9%)

4 (9.5%)

39 (13.4%)

 

High

88 (26.4%)

9 (21.4%)

79 (27.1%)

 

Unavailable

1 (0.3%)

0 (0%)

1 (0.3%)

 

Stress testing SPECT MPI

758 (46.7%)

85 (42.7%)

673 (47.3%)

0.19

Low*

285 (38.3%)

36 (42.4%)

249 (37.7%)

0.97

Intermediate

123 (16.5%)

8 (9.4%)

115 (17.4%)

 

High

334 (44.8%)

41 (48.2%)

293 (44.4%)

 

Unavailable

3 (0.4%)

0 (0%)

3 (0.5%)

 

Cardiac arrhythmia

81 (1.7%)

21 (3.4%)

60 (1.4%)

< 0.01

LV dysfunction

   

0.31

> 50%

484 (62.9%)

48 (56.5%)

436 (63.7%)

 

35%-50%

221 (28.7%)

27 (31.8%)

194 (28.4%)

 

< 35%

64 (8.3%)

10 (11.8%)

54 (7.9%)

 

Type of ACS

   

< 0.01

Unstable angina

1923 (12.8%)

220 (9.7%)

1703 (13.3%)

 

NSTEMI

6733 (44.7%)

884 (39.0%)

5849 (45.8%)

 

STEMI

6395 (42.5%)

1163 (51.3%)

5232 (40.9%)

 

Killip class

   

< 0.01

1

12120 (80.5%)

1942 (85.7%)

10178 (79.6%)

 

2

1297 (8.6%)

149 (6.6%)

1148 (9.0%)

 

3

1247 (8.3%)

122 (5.4%)

1125 (8.8%)

 

4

387 (2.6%)

54 (2.4%)

333 (2.6%)

 

Heart failure at presentation

1826 (12.1%)

189 (8.3%)

1637 (12.8%)

< 0.01

Diagnostic cath

12487 (97.2%)

1855 (97.1%)

10632 (97.2%)

0.78

Elective

1307 (10.5%)

142 (7.7%)

1165 (11.0%)

 

Urgent

7265 (58.2%)

1027 (55.4%)

6238 (58.7%)

 

Emergency

3796 (38.4%)

664 (35.8%)

3132 (29.4%)

 

Salvage

112 (0.9%)

20 (0.2%)

92 (0.9%)

 

Number of vessels with coronary artery disease

   

< 0.01

None

1315 (10.3%)

230 (12.0%)

1085 (9.9%)

 

Single

5140 (40.1%)

894 (46.7%)

4246 (38.9%)

 

Double

3164 (24.7%)

458 (24.0%)

2706 (24.8%)

 

Triple

3209 (25.0%)

329 (17.2%)

2880 (26.4%)

 

PCI

7056 (46.9%)

1201 (53.0%)

5855 (45.8%)

< 0.01

Elective*

396 (5.6%)

43 (3.6%)

353 (6.0%)

< 0.01

Urgent

3413 (48.4%)

532 (44.4%)

2881 (49.1%)

 

Emergency

3228 (45.7%)

618 (51.5%)

2610 (44.5%)

 

Salvage

25 (0.4%)

6 (0.1%)

19 (0.3%)

 

CABG

1674 (11.0%)

191 (8.4%)

1483 (11.6%)

< 0.01

Elective*

49 (2.9%)

4 (2.1%)

45 (3.0%)

0.32

Urgent

1519 (90.7%)

172 (90.1%)

1347 (90.8%)

 

Emergency

94 (5.6%)

14 (7.3%)

80 (5.4%)

 

Salvage

12 (0.7%)

1 (0.5%)

11 (0.7%)

 
  1. *Analyzed using linear-by-linear association
  2. ACS = Acute coronary syndrome
  3. PCI = Percutaneous coronary intervention
  4. CABG = Coronary artery bypass grafting
  5. SMuRF = Standard Modifiable Risk Factor
  6. LV = left ventricular