Open AccessHOSPITAL OUTCOMES IN PATIENTS WITH NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME ACCORDING TO CLINICAL PRACTICE
Author(s) -
М. А. Синьков,
Н. А. Кочергин,
В. И. Ганюков
Publication year - 2019
Publication title -
kompleksnye problemy serdečno-sosudistyh zabolevanij
Language(s) - English
Resource type - Journals
eISSN - 2587-9537
pISSN - 2306-1278
DOI - 10.17802/2306-1278-2019-8-1-23-29
Subject(s) - medicine , acute coronary syndrome , epidemiology , observational study , st elevation , retrospective cohort study , mortality rate , coronary artery disease , emergency medicine , coronary heart disease , myocardial infarction
Background. Non-ST elevation acute coronary syndrome (NSTE-ACS) is a common cause of hospital admissions of coronary artery disease patients. Aim. To assess clinical and epidemiological patterns and hospital outcomes of treatment of NSTE-ACS in Kemerovo in period from 2015 to 2017. Methods. 4884 patients with NSTE-ACS admitted to the Kemerovo healthcare facilities in the period from 2015 to 2017 were included in a retrospective observational study. In-hospital period was subjected to the analysis. Results. The morbidity of NSTE-ACS increased by 16.92% (from 267.78 cases in 2015 to 302.13 cases per 100 thousand population in 2017). The rate of invasive treatment strategies in patients with NSTE-ACS did not change significantly within the study period (about 33%). In-hospital mortality from NSTE-ACS slightly decreased (from 3.74% in 2015 to 3.21% in 2017, p = 0.681). Conclusion. The observational study reported a tendency towards increasing prevalence of NSTE-ACS in a large industrial center within the 3-year period by 16.92%. Nevertheless, the availability of invasive treatment in Kemerovo within the study period remained high (33%). However, relatively high in-hospital mortality rate (3.36%) in NSTEMI has been determined and requires additional studies.