الفهرس 
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Abstract
This study was designed to detect the complications of acute coronary syndrome and correlate it with clinical variables and the treatment strategies. It was conducted on 152 patients with ACS with age ranged from 30 to 84 years and mean ± SD of 58.32 ± 9.47 years. They were 49 females (32.2%) and 103 males (67.8%). The cases were subjected to full history taking including demographic data, history of the current disease and associated chronic disease, past history and drug history. Full clinical examination (including general and cardiac examination) and routine laboratory investigations were done for the cases included in the study. ECG and echocardiography were conducted for all the participants in the study. Coronary angiography including standard views for description anatomy, stenosis & severity. The results of this study showed that: • The main risk factors of the present study were 112 patients with hypertension (73.3%), diabetes mellitus were found in 92 patients (60.5%), smokers were 85 patients (55.9%), ischemic heart disease was found in 66 patients (43.3%), and patients with family history of IHD were 61 patients (40.1%). • Chest pain in this study was atypical in 10 patients (6.6%) and typical in 142 patients (93.4%). So, the vast majority of patients had typical chest pain. • On angiographic findings; LAD artery affection had no statistically significant difference between complicated and non-complicated ACS, while LCX and RCA arteries affection showed a statistically highly significant difference between complicated and non-complicated ACS. • Relation of complication to sex, hypertension, DM, smoking, and family history showed non-significant statistical difference. • LV EF% showed statistically significant difference between complication and non-complication groups. • The majority of complications were hemodynamic followed by electrical complications. • None of the laboratory parameters such as creatinine, INR, hemoglobin concentration, and platelet count had statistically significant value in comparison between complicated and non-complicated ACS.