Characteristic features, treatment and hospital outcomes in patients with acute myocardial infarction: Khabarovsk Register data. Part I

Abstract

Aim. To assess clinical and medical history data of patients with acute myocardial infarction (AMI) admitted to the hospital with a possibility of primary percutaneous coronary intervention (PCI), according to the AMI Register in Khabarovsk.Material and methods. The AMI Register includes data on all patients consecutively admitted to the Khabarovsk Regional Vascular Center from 01.01.2014 till 31.03.2014. 321 AMI patients were included into the study.Result. 177 patients with ST-segment elevation AMI (55.14%) were enrolled into the Register as well as 135 patients with non-ST-segment elevation AMI (42.05%) and 9 patients with early recurrent myocardial infarction and early postinfarction stenocardia (2.8%). 54.19% of patients with a reference AMI admitted to the vascular center in the first 6 hours, and 65.39% of patients – in the first 12 hours. The systemic thrombolysis was carried out in 20 patients (6.2%). PCI with coronary stenting was carried out successfully in 122 patients (68.92%) with ST-segment elevation AMI and in 25 (18.5%) patients with non-ST elevation AMI. The average hospital stay was 8.6 days and total mortality – 9% (n=29).Conclusion. The present treatment of AMI patients (modern pharmacotherapy, primary PCI) is associated with a low lethality. The late admitting of patients and as a result – admitting of 29.59% of AMI-patients in a day after AMI onset is a point for the improvement of AMI management as well as low rate of the interhospital transfers (4.36%).

Keywords

• acute myocardial infarction
• register
• khabarovsk