Accès ouvert

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

Article scientifique 2019 Anglais

Résumé

BACKGROUND: The 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). METHODS: Data 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%). RESULTS: Among 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%; p<0.001), with less IF (28.6% vs. 43.1%; p = 0.002) but more PPCI (37.8% vs. 3.9%; p<0.0001). However, in-hospital mortality in the two types of hospitals was similar (5.3% vs. 5.1%; p = 0.866). CONCLUSIONS: Data from the FAST-MI Tunisia registry show that a pharmaco-invasive strategy of management for STEMI should be promoted in non-interventional regional hospitals.

Citer ce document

Addad, F., Mahdhaoui, A., Jeridi, G., Boughzéla, E., Kamoun, S., Boujnah, M., Haouala, H., Gamra, H., Maatouk, F., Khalfallah, A., Kachboura, S., Baccar, H., Halima, N., Guesmi, A., Sayahi, K., Sdiri, W., Neji, A., Bouakez, A., Milouchi, S., Battikh, K., Jullières, Y., Danchin, N., Monsuez, J., Mulak, G., Hagège, A., Bataille, V., Chettaoui, R., Mourali, M. (2019). Management of patients with acute ST-elevation myocardial infarction: Results of the FAST-MI Tunisia Registry. https://doi.org/10.1371/journal.pone.0207979

Accès au document

Voir sur le dépôt source

Ce document est hébergé sur son dépôt institutionnel d'origine.

Auteur(s)

Faouzi Addad Abdallah Mahdhaoui Gouider Jeridi Essia Boughzéla Samir Kamoun Mohamed Rachid Boujnah Habib Haouala Habib Gamra Faouzi Maatouk A Khalfallah Salem Kachboura H. Baccar N. Ben Halima Ali Guesmi Khaled Sayahi Wissem Sdiri Ali Neji Ahmed Bouakez Sami Milouchi Kaïs Battikh Yves Jullières Nicolas Danchin J.-J. Monsuez Geneviève Mulak Albert Hagège Vincent Bataille Rafik Chettaoui Mohamed Sami Mourali

Statistiques

Consultations : 1

Téléchargements : 0