ST-segment elevation acute coronary syndrome (according to the data of the district cardiac dispensary register of Surgut)

Abstract

AIM: To analyze the individual indicators of emergency medical care in ST-segment elevation (STSE) acute coronary syndrome (ACS) according to the data of the ACS Register of the District Cardiology Dispensary, Center for Diagnosis and Cardiovascular Surgery, Khanty-Mansi Autonomic District-Yugra, Surgut, over time from 2008-2010 and 2011 versus the data of health care facilities taking part in the ACS Register. Materials and methods. The quality of medical care for patients with STSE ACS was considered and analyzed in accordance with "The information analytical system user's guide for the integrated rapid assessment of the quality and level of organization of medical care for patients with acute coronary syndrome to "The Federal Register of Patients with ACS"/RESULTS: The data of the ACS Register of the Surgut District Cardiology Dispensary indicate that the majority of patients with STSE ACS are males (86.9%); the patients' median age is 56.0 (range 51.0-61.0) years. The scope of performed drug therapy is comparable with the data of the European Registers: aspirin (97.6%), clopidogrel (93.7%), anticoagulants (98.5%), angiotensin-converting enzyme inhibitors (96.6%), Β-blockers (96.1%), and statins (87.4%). In STSE ACS, percutaneous coronary intervention is performed in 93.7% of cases; thrombolytic therapy in 14.6%; emergency coronary bypass surgery in more than 3%/CONCLUSION: The individual indicators characterizing the level of medical care for STSE ACS were analyzed using the ACS Register.

Keywords

• acute coronary syndrome
• register