If you're experiencing angina (UA), an acute myocardial infarction (AMI), or sudden cardiac death, you're suffering from an acute coronary syndrome (ACS). Southeast Asia, particularly Pakistan, has seen a dramatic rise in the prevalence of the disease. We aimed to identify incidence of Pre-ACS pain and to find out its association with future risk of any cardiac events. Methods: Islamabad's KRL hospital hosted this Cross-Sectional Study from November 2021 to February 2022. All the patients

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... ting with the diagnosis of ACS for the first time were included in our study. Inferential statistics were performed using SPSS version 23 and the Chi square test. Results: There were 72.7% men and 27.3% women. The average age was 57.12years. NSTMI was found in 30% of patients, followed by Anterior Wall MI in 20% and Acute Coronary Syndrome in 14.7%. Of the total population, 28% were in the normal BMI range and 49% were overweight or obese. BMI, obesity, sedentary lifestyle, fast food eating, smoking and exercise all have a significant p value when it comes to predicting cardiac events in patients. Conclusion: About 80% to 90% of people who experience acute chest syndrome (ACS) do so for no apparent reason. Consistent medical investigations are required to rule out the possibility of underlying ischemic heart disease. To identify the communities at risk, a grading approach is required.