The principal cause of mortality of cardiovascular condition is prevalent in low and middle-income nations. Study revealed that pooreconomic condition is a risk factor. Therefore, the study done to detect the association of risk factors in acute coronary syndrome (ACS) with Low socioeconomic condition. Methodology: Thiscross sectional study conducted in a Multi-disciplinary hospital of Bangladesh. ACS patient were the target population. After written informed consent, a total 100 individuals were included. Researcher with semi-structured questionnaire did data collection. And following completion of data collection, it was analyzed by the SPSS 21. Result: Out of total 100 ACS patients male-female ratio was 2.6:1 ( 72% vs 28%) with mean age 57.86±13.69 SD (years). Age range was 29-83 years. Highest frequency of ACS (34%) was found between 55 to 64 years of age. About 43% of the patients belongs to 3000-4500 taka monthly followed by 35% with income >4500 taka and 22% with <3000 taka per month. Risk factors among male were hypertension (81.94%), dyslipidaemia (73.61%), smoking (72.22%) and family history of ACS (37.5%). On contrary, among women, dyslipidaemia (78.57%), hypertension (46.43%), over-weight of obesity (39.29%) constituted the principle risk factors. Of all, high blood pressure and tobacco ingestion are significant in men than women (p-value < 0.05 in each). The most prevalent symptom was chest pain among both male (84.72%) and female (75%). Next common symptoms were shortness of breath (48.61% vs 50%) and diaphoresis (33.33% vs 28.57%). Total 11 patients (11%) were died and there was no significant relationship between outcome and income. Conclusion: Among the low socio-economic group,elevated blood pressure and active smoking are the most important risk factors in ACS patients, which frequently presents with typical chest pain along with radiation of pain in left as well as difficulty in breathing.

Keywords : Acute coronary Syndrome,Smoking,Lowincome,Diabetes,Hypertension,Chestpain,Shortness of breath, Bangladesh, Dhaka Medical college Hospital.