Details

Autor(en) / Beteiligte

• Addad, Faouzi
• Mahdhaoui, Abdallah
• Gouider, Jeridi
• Boughzela, Essia
• Kamoun, Samir
• Boujnah, Mohamed Rachid
• Haouala, Habib
• Gamra, Habib
• Maatouk, Faouzi
• Ben Khalfallah, Ali
• Kachboura, Salem
• Baccar, Hedi
• Ben Halima, Nejeh
• Guesmi, Ali
• Sayahi, Khaled
• Sdiri, Wissem
• Neji, Ali
• Bouakez, Ahmed
• Milouchi, Sami
• Battikh, Kais
• Jullieres, Yves
• Danchin, Nicolas
• Monsuez, Jean Jacques
• Mulak, Genevieve
• Hagege, Albert
• Bataille, Vincent
• Chettaoui, Rafik
• Mourali, Mohamed Sami
• Lazzeri, Chiara

Titel

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

Ist Teil von

• PloS one, 2019-02, Vol.14 (2), p.e0207979-e0207979

Ort / Verlag

United States: Public Library of Science

Erscheinungsjahr

2019

Quelle

MEDLINE

Beschreibungen/Notizen

• 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). 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%). 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). 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.