Registry for Acute ST Elevation Myocardial Infarction
Moataz Mahmoud Yousri;
Abstract
Summary
therosclerosis is said to be the 21st century pandemic. It is almost universally present in adults in both developed and developing countries accounting for major economic losses and consuming healthcare funds.
ST- elevation myocardial infarction is by far the most serious presentation of ACAD carrying the most hazardous consequences& patients with ST elevation are triaged immediately for reperfusion therapy, according to ACC/ AHA& ESC guidelines for acute MI.
Reperfusion therapy has become so central to the modern treatment of acute myocardial infarction patients that are said to be in the reperfusion era, either with thrombolytic therapy or percutaneous coronary intervention (PCI).
We studied 170 patients admitted by acute STEMI in Ain Shams University hospitals and Nasr City Insurance hospitals in the period between 1/1/2013 and 30/6/2013 and then another 6 months follow up.
It was found that mean age of the study was 59.9 years with prevalence of male gender with about 82.9% of the patients, 70% were smokers, 58.8% were diabetic, 57.6% were hypertensive and 29% were dyslipidemic.
A
Summary
113
Time to first medical contact was high with a mean of 297 minutes indicating the increased time delay between the onset of chest pain and management which had an overt influence on mortality in this study.
Door to balloon and door to needle times were within international ranges with mean of 59.2 and 60.3 minutes respectively.
Anterior STEMI was the prevailing type of STEMI and hence left anterior descending artery was the most revascularized artery.
Drug eluting stents were used in 11.8% only of the patients indicating that the health care funding is still not meeting patients‘ requirements.
Primary PCI was performed in 64.7% of the patients indicating the increasing usage of primary PCI as a reperfusion strategy in management of STEMI in Egypt but still needs more effort to reach the international standards.
Cardiogenic shock was the major cause of in hospital mortality in STEMI patients in Egypt; this may be due to lack of usage of intra-aortic balloon pump and other LV assist devices, inspite of this in hospital mortality was 7.6% which was surprisingly near to the international rates.
therosclerosis is said to be the 21st century pandemic. It is almost universally present in adults in both developed and developing countries accounting for major economic losses and consuming healthcare funds.
ST- elevation myocardial infarction is by far the most serious presentation of ACAD carrying the most hazardous consequences& patients with ST elevation are triaged immediately for reperfusion therapy, according to ACC/ AHA& ESC guidelines for acute MI.
Reperfusion therapy has become so central to the modern treatment of acute myocardial infarction patients that are said to be in the reperfusion era, either with thrombolytic therapy or percutaneous coronary intervention (PCI).
We studied 170 patients admitted by acute STEMI in Ain Shams University hospitals and Nasr City Insurance hospitals in the period between 1/1/2013 and 30/6/2013 and then another 6 months follow up.
It was found that mean age of the study was 59.9 years with prevalence of male gender with about 82.9% of the patients, 70% were smokers, 58.8% were diabetic, 57.6% were hypertensive and 29% were dyslipidemic.
A
Summary
113
Time to first medical contact was high with a mean of 297 minutes indicating the increased time delay between the onset of chest pain and management which had an overt influence on mortality in this study.
Door to balloon and door to needle times were within international ranges with mean of 59.2 and 60.3 minutes respectively.
Anterior STEMI was the prevailing type of STEMI and hence left anterior descending artery was the most revascularized artery.
Drug eluting stents were used in 11.8% only of the patients indicating that the health care funding is still not meeting patients‘ requirements.
Primary PCI was performed in 64.7% of the patients indicating the increasing usage of primary PCI as a reperfusion strategy in management of STEMI in Egypt but still needs more effort to reach the international standards.
Cardiogenic shock was the major cause of in hospital mortality in STEMI patients in Egypt; this may be due to lack of usage of intra-aortic balloon pump and other LV assist devices, inspite of this in hospital mortality was 7.6% which was surprisingly near to the international rates.
Other data
| Title | Registry for Acute ST Elevation Myocardial Infarction | Other Titles | دراسة عن مرضى الاحتشاء الحاد لعضلة القلب | Authors | Moataz Mahmoud Yousri | Issue Date | 2015 |
Recommend this item
Similar Items from Core Recommender Database
Items in Ain Shams Scholar are protected by copyright, with all rights reserved, unless otherwise indicated.