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Abstract
Background: Acute coronary syndrome (ACS), one of the commonest causes of intensive care unit (ICU) admission, casts a large burden of cost on the health care system, along with a huge mortality in the elderly population, both in Egypt and worldwide. Objectives: Comparative study between young and elderly patients whom were admitted with the diagnosis of acute coronary syndrome in the last 4 years in the critical care department, Cairo University. Results: It was found that dyslipidemia , hypertension and diabetes were the most prevalent and significant risk factors for ACS in elderly (p<0.001), While smoking was the most significant risk factor in younger (p<0.001). Predictors of heart failure were only age and TIMI score, Being elderly increases odds ratio of heart failure by 3.154 times, (P value .035), Also increases in TIMI score increase incidence of heart failure by 0.825 times, (P value <.001).Mortality was frequent in elderly than younger, (P value=0.002). Conclusion: Predictors of Heart failure were increase both age and TIMI score. Mortality was more frequent in elderly than younger.