Aim of the study: To estimate the prevalence of triglyceride and high density lipoprotein cholesterol ratio among 100 acute coronary syndrome patients and compared to among a sample of 100 control persons.
Methodology: Blood samples were taken from sample (n=100) of acute coronary syndrome inpatients from coronary care unit, and control (n=100) of non acute coronary syndrome outpatients recorded during the period from 1/7/2013 to 30/11/2013 at Baghdad Teaching Hospital.
The mean triglycerides showed a significant differences in different type groups of patients; the unstable angina patients had the lower triglyceride levels than patients with ST-elevation myocardial infarction and non ST-elevation myocardial infarction types, the mean triglyceride was 187.6 ± 62 mgdl in unstable angina patients , 218.8 ± 63.3 in ST-elevation myocardial infarction patients and it was 219.5± 62.3 in non ST-elevation myocardial infarction patients, P=0.031.The percentage of triglyceride/high density lipoprotein cholesterol ratio (≥5 ) in acute coronary syndrome patients was 58% , while in control persons was 10%.
Conclusion: Hypertriglyceridemia has been found to be an associated risk factor for the development of acute coronary syndrome. Lower concentrations of serum high density lipoprotein cholesterol, has been found to be an associated risk factor for the development of acute coronary syndrome. The ratio of triglycerides to high density lipoprotein cholesterol was found to be an associated risk factor for the development of acute coronary syndrome.