LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICE
Purpose: to assess the non-performance rate of primary PCI in STEMI patients and determine the factors influencing the choice of approach for the management of patients based on Kemerovo Cardiology Clinic's experience in 2012. Material and Methods: 492 patients aged 30 to 92 years, admitted to...
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| Format: | Article |
| Language: | Russian |
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InterMedservice
2016-03-01
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| Series: | Евразийский Кардиологический Журнал |
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| Online Access: | https://www.heartj.asia/jour/article/view/5663 |
| _version_ | 1797879239160102912 |
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| author | V. V. Kashtalap A. M. Kochergina S. A. Makarov V. Yu. Kheraskov O. L. Barbarash |
| author_facet | V. V. Kashtalap A. M. Kochergina S. A. Makarov V. Yu. Kheraskov O. L. Barbarash |
| author_sort | V. V. Kashtalap |
| collection | DOAJ |
| description | Purpose: to assess the non-performance rate of primary PCI in STEMI patients and determine the factors influencing the choice of approach for the management of patients based on Kemerovo Cardiology Clinic's experience in 2012. Material and Methods: 492 patients aged 30 to 92 years, admitted to the MBHI "Kemerovo Cardiology Dispensary" (the Regional Vascular Center in 2012 with a diagnosis of ST-segment elevation myocardial infarction) were included in the single-center prospective registry study. The mean age of patients was 64.42 ± 10.86 years. Results: over 20% of STEMI patients admitted to the Kemerovo Cardiology Dispensary did not undergo emergency coronary angiography (CAG). These patients were older, predominantly female (64%), commonly with repeated MI (44%) and with the presence of renal and myocardial dysfunction. The group of patients, who were not selected for CAG, had significant patient delay between onset of symptoms and hospital admission (9 hours from onset of symptoms to hospital admission in the group of patients who were selected to emergency CAG and 30 hours - in patients who were not selected for CAG). Conclusion: according to the results of the study, we determined a group of patients (up to 20%), who did not receive high-tech medical services because of time delay and had less favorable outcomes after STEMI. Therefore, the development of algorithms is particularly important as they can reduce the time delay in the pre-hospital period, as well as active patient selection for coronary angiography during the in-hospital period. |
| first_indexed | 2024-04-10T02:45:42Z |
| format | Article |
| id | doaj.art-78b33056858c4594b0fbc36415c1a1a2 |
| institution | Directory Open Access Journal |
| issn | 2225-1685 2305-0748 |
| language | Russian |
| last_indexed | 2024-04-10T02:45:42Z |
| publishDate | 2016-03-01 |
| publisher | InterMedservice |
| record_format | Article |
| series | Евразийский Кардиологический Журнал |
| spelling | doaj.art-78b33056858c4594b0fbc36415c1a1a22023-03-13T07:47:27ZrusInterMedserviceЕвразийский Кардиологический Журнал2225-16852305-07482016-03-0101404610.38109/2225-1685-2016-1-40-465660LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICEV. V. Kashtalap0A. M. Kochergina1S. A. Makarov2V. Yu. Kheraskov3O. L. Barbarash4Федеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»; Государственное бюджетное учреждение высшего профессионального образования Кемеровская государственная медицинская академия Минздрава РоссииФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»; Государственное бюджетное учреждение высшего профессионального образования Кемеровская государственная медицинская академия Минздрава РоссииФедеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»; Муниципальное бюджетное учреждение здравоохранения «Кемеровский кардиологический диспансер»Муниципальное бюджетное учреждение здравоохранения «Кемеровский кардиологический диспансер»Федеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»; Государственное бюджетное учреждение высшего профессионального образования Кемеровская государственная медицинская академия Минздрава России; Федеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»Purpose: to assess the non-performance rate of primary PCI in STEMI patients and determine the factors influencing the choice of approach for the management of patients based on Kemerovo Cardiology Clinic's experience in 2012. Material and Methods: 492 patients aged 30 to 92 years, admitted to the MBHI "Kemerovo Cardiology Dispensary" (the Regional Vascular Center in 2012 with a diagnosis of ST-segment elevation myocardial infarction) were included in the single-center prospective registry study. The mean age of patients was 64.42 ± 10.86 years. Results: over 20% of STEMI patients admitted to the Kemerovo Cardiology Dispensary did not undergo emergency coronary angiography (CAG). These patients were older, predominantly female (64%), commonly with repeated MI (44%) and with the presence of renal and myocardial dysfunction. The group of patients, who were not selected for CAG, had significant patient delay between onset of symptoms and hospital admission (9 hours from onset of symptoms to hospital admission in the group of patients who were selected to emergency CAG and 30 hours - in patients who were not selected for CAG). Conclusion: according to the results of the study, we determined a group of patients (up to 20%), who did not receive high-tech medical services because of time delay and had less favorable outcomes after STEMI. Therefore, the development of algorithms is particularly important as they can reduce the time delay in the pre-hospital period, as well as active patient selection for coronary angiography during the in-hospital period.https://www.heartj.asia/jour/article/view/5663инфаркт миокардапожилой возрастпервичное чрескожное коронарное вмешательствоmyocardial infarctionadvanced ageprimary percutaneous coronary intervention |
| spellingShingle | V. V. Kashtalap A. M. Kochergina S. A. Makarov V. Yu. Kheraskov O. L. Barbarash LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICE Евразийский Кардиологический Журнал инфаркт миокарда пожилой возраст первичное чрескожное коронарное вмешательство myocardial infarction advanced age primary percutaneous coronary intervention |
| title | LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICE |
| title_full | LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICE |
| title_fullStr | LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICE |
| title_full_unstemmed | LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICE |
| title_short | LIMITATIONS ON PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION IN THE CLINICAL PRACTICE |
| title_sort | limitations on primary percutaneous coronary intervention for st segment elevation acute myocardial infarction in the clinical practice |
| topic | инфаркт миокарда пожилой возраст первичное чрескожное коронарное вмешательство myocardial infarction advanced age primary percutaneous coronary intervention |
| url | https://www.heartj.asia/jour/article/view/5663 |
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