Cardiovascular disease is one of the leading causes of morbidity and mortality in the world. Among the cardiovascular diseases acute coronary syndrome (ACS) remains a major cause of mortality and morbidity. Outcome of ACS patients and their relation with the risk factors in a low resource setting is important for decision making and thus appropriate intervention. This cross sectional study was conducted among ACS patients admitted in coronary care unit (CCU) of Sylhet Women’s Medical College Hospital from June 2016 to April 2017 to find out the outcomes of ACS patients and their associated risk factors. Document review was used for collection of data. A total of 322 ACS patients were included in this study. The result showed that, the mean age of the patient was 57.7±13.9 years with male (68%) preponderance. One third (32.12%) of the patients suffered from ST elevation myocardial infarction (STEMI) and 41.6% suffered from non ST elevation myocardial infarction (NSTEMI). Two third (66.8%) of the patients had any type of risk factors like hypertension (HTN), diabetes mellitus (DM), smoking and one third did not have any risk factor prior to admission to the hospital. Two fifth (41.7%) of the patients had HTN and one third (31.4%) of the patients had DM. Two third (66.5%) of the patients developed any type of complications; about 40% had heart failure and 21.7% had cardiogenic shock. About 7% of the patients died in the hospital. So complications of ACS like heart failure and cardiogenic shock was high in this setting.

Keywords: ACS, STEMI, NSTEMI, UA, HTN, DM, Risk factors for CAD.