Ischemic heart disease (IHD) has been identified as one of the leading causes of death by the World Health Organization (WHO) in 2012. In Malaysia, coronary artery disease (CAD) is one of the leading causes of mortality, accounting for 20-25% of all deaths in public hospitals. Acute coronary syndrome (ACS) is a clinical spectrum of ischemic heart disease ranging from unstable angina, non-ST segment elevation myocardial infarction (NSTEMI) to ST segment elevation myocardial infarction (STEMI).
Records in Ministry of Health hospitals indicate that circulatory diseases account for 7% of total hospital admissions and 23.34% of all hospital deaths in 2014. Amongst the common risk factors, a prospective study concluded that 39.8% of adults in the country have diabetes mellitus, 66.1% have hypertension and 40.4% with dyslipidemia. From an ethnicity point of view, Malays had higher body mass index (BMI), Chinese had higher prevalence of hypertension and hyperlipidemia, while Indians had higher rates of diabetes mellitus, hypertension and hyperlipidaemia.
Test your knowledge on Angina which will be discussed via a case-based scenario.

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