DOI: 10.36347/sjams.2024.v12i06.009

Pages: 759-762

Background: Chest pain or discomfort caused by acute coronary syndromes (ACS) or angina has a potentially dismal prognosis, emphasizing the necessity of timely and accurate diagnosis. Method: The cross-sectional study was conducted in Department of Cardiology, Northeast Medical College, Sylhet. Patients 100 consecutive patients with recent onset chest pain seen within 24 hours of general practitioner referral to find out the clinical diagnosis and management. Results: In terms of complications, 39% were smokers, 30% had hypertension, 29% had an IHD history, 16% had hyperlipidaemia, and 3% had diabetes. Regarding clinic diagnosis 31(31.0%) patients had non cardiac pain, 9(9%) patients indeterminate, 28(28%) had unstable angina, 27(27%) had stable angina and 5(5.0%) had myocardial infarction. Regarding outcome of the patients 51(51%) patients had coronary angiography, 25(25%) had discharged and (24%) patients referred out patients department. Conclusion: This experience highlights the inadequacy of a routine electrocardiogram reporting service in patients with recent onset of chest pain. Clinic diagnosis was found, chronic stable angina, unstable angina and myocardial infarction. Regarding outcome of the patients were coronary angiography, discharged and patients referred out patients department.