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

PloS One
F AddadFAST-MI Tunisia investigators

Abstract

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...Continue Reading

Associated Clinical Trials

References

Jun 23, 2001·The New England Journal of Medicine·G MontalescotUNKNOWN ADMIRAL Investigators. Abciximab before Direct Angioplasty and Stenting in Myocardial Infarction Regarding Acute and Long-Te
Jun 19, 2010·The New England Journal of Medicine·Robert W YehAlan S Go
Aug 17, 2010·Annales de cardiologie et d'angéiologie·F AddadH Gamra
Oct 7, 2010·Circulation. Cardiovascular Quality and Outcomes·William J KostisUNKNOWN Myocardial Infarction Data Acquisition System (MIDAS14) Study Group
Apr 28, 2011·JAMA : the Journal of the American Medical Association·Tomas JernbergUNKNOWN SWEDEHEART/RIKS-HIA
Apr 24, 2012·Heart·Michel HanssenUNKNOWN FAST-MI 2010 Investigators
Aug 29, 2012·JAMA : the Journal of the American Medical Association·Etienne PuymiratUNKNOWN FAST MI Investigators
Mar 12, 2013·The New England Journal of Medicine·Paul W ArmstrongUNKNOWN STREAM Investigative Team
Jul 20, 2014·Revista Española De Cardiología·Nicolas DanchinEtienne Puymirat
Oct 5, 2014·International Journal of Public Health·Kaan SözmenJulia Critchley

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Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

Statistical Package for Social Sciences
FAST
MI

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