The frequency of ACS is increasing as the population ages, and therefore, knowledge of knowing who are at high risk is essential. This study was aimed at exploring the risk factors among acute coronary syndrome (STEMI, NSTEMI, Unstable Angina) patients. This cross-sectional study was carried out in the Department of Medicine and Cardiology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum. A total of 400 patients of age more than 18 years who presented with Acute Coronary Syndromes were included in the study. Patients were subjected to various clinical examination, as well as some required investigations including . The data obtained was coded and entered into the Microsoft Excel Spreadsheet. The data was analysed and the final results and observations were tabulated. The results reveled that majority of the patients were male as well as MI patients (75.75%). In the present study risk factors attributed were non hypertensives (60.5%), diabetics (60.5%).,Age less than 65 years, not on anti platelet therapy outside(89%), not thrombolysed (94.5%), non smokers (84.75%), Non tobacco chewers (89.25%). But the factors which showed significant association were male gender, age <65years. Conclusion: Males are more commonly affected compared to females. The commonest presentation are chest pain alone, chest pain with breathlessness, atypical presentations like syncope, epigastric pain/ burning sensation/etc. Cases of MI were more as compared to that of Unstable Angina in spectrum of Acute Coronary Syndromes.
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