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J Korean Soc Emerg Med > Volume 35(2); 2024 > Article
Journal of The Korean Society of Emergency Medicine 2024;35(2): 134-142.
응급실로 내원한 급성관상동맥증후군 환자의 혈청지질 수치
정용훈1 , 조수형1 , 류소연2
1조선대학교 의과대학 응급의학교실
2조선대학교 의과대학 예방의학교실
Serum lipid profiles of patients with acute coronary syndrome who visited the emergency room
Yong Hun Jung1 , Soo Hyung Cho1 , So Yeon Ryu2
1Department of Emergency Medicine, Chosun University College of Medicine, Gwangju, Korea
2Department of Preventive Medicine, Chosun University College of Medicine, Gwangju, Korea
Correspondence  Soo Hyung Cho ,Tel: 062-220-3285, Fax: 062-224-3501, Email: chosooh@naver.com,
Received: September 6, 2023; Revised: October 19, 2023   Accepted: October 23, 2023.  Published online: April 30, 2024.
This study examined dyslipidemias in patients hospitalized with acute coronary syndrome, the changes, and the differences in the lipid profiles, and assessed whether these findings could serve as valuable emergency tests.
From March 2021 to February 2023, a study was conducted on patients who visited the emergency room and were hospitalized with acute coronary syndrome. The total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and triglycerides were examined. The patients were classified as unstable angina, non-ST-elevation myocardial infarction (non-STEMI), and ST-elevation myocardial infarction (STEMI) for comparison.
The study included 401 patients, among whom 58 (14.5%) had unstable angina, 138 (34.4%) had a nonSTEMI, and 205 (51.1%) had an STEMI. Comparisons among the three groups based on test results revealed increases in the total cholesterol (P=0.002) and LDL (P<0.0001), but no significant differences in the HDL (P=0.920) and triglycerides (P=0.293). A notable difference was observed in LDL (P=0.020) when comparing the normal and abnormal lipid profile groups.
As the disease progressed with unstable angina, non-STEMI, and STEMI, the total cholesterol and LDL increased. In the case of LDL, differences were observed between the normal and elevated groups and as the disease advanced. The lipid profiles in the emergency room are suitable for emergency tests for patients with acute coronary syndrome.
Key words: Acute coronary syndrome; Cholesterol; Dyslipidemias
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