Рациональная фармакотерапия в кардиологии (Sep 2018)

Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research

  • A. V. Kontsevaya,
  • K. Bates,
  • E. A. Goryachkin,
  • N. Bobrova,
  • L. I. Syromiatnikova,
  • Yu. V. Popova,
  • D. Yu. Platonov,
  • I. V. Osipova,
  • A. M. Nedbaikin,
  • T. N. Malorodova,
  • O. A. Mirolyubova,
  • D. V. Kryuchkov,
  • L. A. Khaisheva,
  • A. S. Galyavich,
  • M. V. Franz,
  • A. Yu. Efanov,
  • D. V. Duplyakov,
  • O. M. Drapkina,
  • D. Leon,
  • M. McKee

DOI
https://doi.org/10.20996/1819-6446-2018-14-4-474-487
Journal volume & issue
Vol. 14, no. 4
pp. 474 – 487

Abstract

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Aim. To describe the characteristics of the patient with MI who is admitted to a hospital and to characterize the main diagnostic and treatment interventions in clinic.Material and methods. This study is observational and the part of big international project. It includes a representative sample of patients with MI admitted to 16 clinics in 13 regions of Russian Federation (Arkhangelsk region, Belgorod region, Bryansk region, Tver region, Saratov region, Rostov region, Samara region, the Republic of Tatarstan, Perm region, Tyumen region, Khanty-Mansiysk Autonomous district, Kemerovo region, Altai region). Patients were selected at random from among those experiencing a MI that were alive on the next morning after hospitalization. Enrollment took place from June 2015 to August 2016.Results. Of 1,128 patients included in the study, 872 were male (77.3%) and 256 females. 21.4% of patients had a previous MI, 8.3% had undergone PCI, and 2.2% CABG. Turning to cardiovascular risk factors, 46.2% of patients smoked prior to hospitalization, 34.6% were obese and 52.1% had a high cholesterol level. Only 40.0% of patients had no contact with the health care system within 12 months before the MI. Every fourth patient (25.1%) had undergone dispensarisation within 12 months before MI, women significantly often than men (33.5% and 22.6%, p<0.001). Initial revascularization was performed in 73.2% of patients, PCI was the initial revascularization attempt in 49.4% of patients, and PCI with stenting in 46.7%.Conclusion. Patient with a MI in Russian clinics is likely to have had a history of cardiovascular disease, and to have regular contact with the health care system within 12 months before the development of cardiovascular event. We demonstrated the high rates of appropriate MI treatment, without significant gender and age difference (except for thrombolysis), however, there is a reserve for increasing the proportion of patients who are undergoing revascularization.

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