PHYSICAL ACTIVITY LEVEL IN PATIENTS PRESENTING WITH ACUTE CORONARY SYNDROME

Abstract

Introduction: Even while ACS has a high incidence, morbidity, and death rate, and regular physical exercise is known to protect against myocardial infarction, it is still unclear how many sedentary people in our population present with acute coronary syndrome. As a result, the study was organized which aimed to determine the physical activity level in patients with presenting with acute coronary syndrome. The study's findings offered valuable data on the level of aerobic activity in individuals suffering from acute coronary syndrome.

Materials and methods: This cross sectional study was carried out at the department of Cardiology, NICVD, Karachi during the period 4^th October 2024 till 28^th February 2025. Male and female patients aging 30 to 70 years diagnosed with acute coronary syndrome were enrolled as evaluated for physical activity level using International Physical Activity Questionnaire.

Results: Mean age of the patients was 51.84±13.29 years and mean BMI was 23.911±2.569 kg/m². Majority of study participants were aging 50 years or below (n = 191, 50.5%). Male participants were 192 (50.8%) while 99 patients (26.2%) had smoking history. 145 patients (38.4%) were very active followed by active category recorded in 101 participants (26.7%) while 63 patients (16.7%) were sedentary.

Conclusion: Though very active and active physical activity level was common, a significant proportion of study participants had minimal or no physical activity in the week preceding the event of acute coronary syndrome.