Contemporary issues of the diagnostics and treatment of acute coronary syndrome. Particular results of the eight-year local departmental myocardial infarction registry
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Keywords

acute coronary syndrome, myocardial infarction, registry

How to Cite

Diachuk, D. D., Kolomoiets, M. Y., Kravchenko, A. M., Mikhaliev, K. O., Simak, I. M., & Sopko, O. O. (2018). Contemporary issues of the diagnostics and treatment of acute coronary syndrome. Particular results of the eight-year local departmental myocardial infarction registry. Clinical and Preventive Medicine, (1), 5-14. https://doi.org/10.31612/2616-4868.1-4.2018.02

Abstract

Purpose: to perform a retrospective analysis of the patients' data from the State Scientific Institution «Scientific and Practical Center for Preventive and Clinical Medicine» of the State Administrative Department (SSI «SPC PCM» SAD), who have suffered a myocardial infarction (MI) in 2010-2017, and to compare the extracted data with the results of Ukrainian and a number of world registries.

Material and methods. We analyzed 756 MI cases registered during 2010-2017 in 700 patients. The average age of patients was (71,9 ± 10,79) years. The gender structure was as follows: males – 502 cases (66,4%); women – 254 (33,6%). Q-MI was registered in 461 (61,0%) cases, non-Q-IM – 295 (39,0%). Prior MI was in 201 patients (28,7%) (totally, 225 [29,8%] cases of recurrent MI were registered).

Results. The average age of patients included in the local registry was older than that in the vast majority of Ukrainian and world studies selected for comparison. During 2010-2017, the incidence of MI in SSI «SPC PCM» SAD in 1,5-3 times exceeded the similar indicator in Ukraine. In addition, there was no trend regarding the frequency of Q- or non-Q-MI cases registration. With regard to ST-segment elevation MI (STEMI), the time «symptoms onset – call for the emergency medical service» was 117 (60-454) min (n = 57), and in case of MI without persistent ST-segment elevation (NSTEMI) – 559 (68-2880) min (n = 89) (p˂0.001). The time interval «symptoms onset – hospitalization» in STEMI was significantly longer than that in NSTEMI: 640 (195-2974) min (n = 55) vs. 225 (150-525) min, respectively (n = 85; p = 0.002). According to the local departmental registry, during the 2010-2017 period we observed an increase in the frequency of percutaneous coronary interventions – in total sample and in both types of MI. This trend was in line with the trend in Ukraine and in a number of European Union countries.

Conclusion. The organization and scientific support of the local departmental registry of SSI «SPC PCM» SAD patients, suffered from MI, enable to extract the information about the characteristics of the involved population (demographic, epidemiological, clinical etc.), the characteristics of providing medical care in terms of real clinical practice, and compare the local results with the data from Ukrainian and world registry studies.

https://doi.org/10.31612/2616-4868.1-4.2018.02
ARTICLE PDF (Українська)

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