Management of patients with acute ST-elevation myocardial infarction: Results of the FAST-MI Tunisia Registry

التفاصيل البيبلوغرافية
العنوان: Management of patients with acute ST-elevation myocardial infarction: Results of the FAST-MI Tunisia Registry
المؤلفون: Faouzi Addad, Abdallah Mahdhaoui, Jeridi Gouider, Essia Boughzela, Samir Kamoun, Mohamed Rachid Boujnah, Habib Haouala, Habib Gamra, Faouzi Maatouk, Ali Ben Khalfallah, Salem Kachboura, Hedi Baccar, Nejeh Ben Halima, Ali Guesmi, Khaled Sayahi, Wissem Sdiri, Ali Neji, Ahmed Bouakez, Sami Milouchi, Kais Battikh, Yves Jullieres, Nicolas Danchin, Jean Jacques Monsuez, Genevieve Mulak, Albert Hagege, Vincent Bataille, Rafik Chettaoui, Mohamed Sami Mourali, FAST-MI Tunisia investigators
المصدر: PLoS ONE, Vol 14, Iss 2, p e0207979 (2019)
PLoS ONE
بيانات النشر: Public Library of Science (PLoS), 2019.
سنة النشر: 2019
مصطلحات موضوعية: Male, Critical Care and Emergency Medicine, Cardiovascular Procedures, medicine.medical_treatment, Myocardial Infarction, 030204 cardiovascular system & hematology, Geographical Locations, Hospitals, University, 0302 clinical medicine, Medicine and Health Sciences, Medicine, Thrombolytic Therapy, 030212 general & internal medicine, Myocardial infarction, Hospital Mortality, Registries, Angioplasty, Balloon, Coronary, Data Management, Aged, 80 and over, Multidisciplinary, Mortality rate, Thrombolysis, Middle Aged, Treatment Outcome, Female, Research Article, Adult, medicine.medical_specialty, Computer and Information Sciences, Tunisia, Death Rates, Science, Cardiology, Surgical and Invasive Medical Procedures, 03 medical and health sciences, Reperfusion therapy, Percutaneous Coronary Intervention, Population Metrics, Fibrinolytic Agents, Internal medicine, Angioplasty, Diabetes mellitus, Fibrinolysis, Humans, Aged, Population Biology, business.industry, Hospitals, Public, Percutaneous coronary intervention, Biology and Life Sciences, medicine.disease, People and Places, Africa, Reperfusion, ST Elevation Myocardial Infarction, business, Coronary Angioplasty
الوصف: BackgroundThe FAST-MI Tunisia registry was set up by the Tunisian Society of Cardiology and Cardiovascular Surgery to assess the demographic and clinical characteristics, management and hospital outcome of patients with ST-elevation myocardial infarction (STEMI).MethodsData for 459 consecutive patients (mean age 60.8 years; 88.5% male) with STEMI, treated in 16 public hospitals (representing 72.2% of public hospitals in Tunisia treating STEMI patients), were collected prospectively.The most common risk factors were smoking (63.6%), hypertension (39.7%), diabetes (32%) and dyslipidaemia (18.2%).ResultsAmong the 459 patients, 61.8% received reperfusion therapy: 30% with primary percutaneous coronary intervention (PPCI) and 31.8% with intravenous fibrinolysis (IF) (28.6% with pre-hospital thrombolysis). The median time from symptom onset to thrombolysis was 185 min and to PPCI was 358 min. In-hospital mortality was 5.3%. Compared with those managed at regional hospitals, patients managed at interventional university hospitals (n = 357) were more likely to receive reperfusion therapy (52.9% vs. 34.1%; pConclusionsData from the FAST-MI Tunisia registry show that a pharmaco-invasive strategy of management for STEMI should be promoted in non-interventional regional hospitals.
اللغة: English
تدمد: 1932-6203
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cd2327369285ca3c65ba55bc30c7b7f2Test
https://doaj.org/article/b77a89a85c91440f83394cc97af55cc6Test
حقوق: OPEN
رقم الانضمام: edsair.doi.dedup.....cd2327369285ca3c65ba55bc30c7b7f2
قاعدة البيانات: OpenAIRE