Predictors of Non-Fulfillment of Reperfusion Therapy in Patients With ST-Elevation Acute Coronary Syndrome

被引:0
|
作者
Altarev, S. S. [1 ]
Barbarash, O. L. [1 ]
Pomeshkina, S. A. [1 ]
Kashtalap, V. V. [1 ]
Zykov, M. V. [1 ]
Tavlueva, E. V. [1 ]
Barbarash, L. S. [1 ]
机构
[1] Russian Acad Med Sci, Siberian Branch, Res Inst Complex Issues Cardiovasc Dis, Kemerovo 650002, Russia
关键词
acute coronary syndrome; reperfusion therapy; ACUTE MYOCARDIAL-INFARCTION; ASSOCIATION TASK-FORCE; ELDERLY-PATIENTS; NATIONAL REGISTRY; THROMBOLYTIC THERAPY; PERFORMANCE-MEASURES; AMERICAN-COLLEGE; GLOBAL REGISTRY; UNITED-STATES; EVENTS GRACE;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
At present reperfusion therapy in ST-elevation (STE) acute coronary syndrome (ACS) is carried out in majority of countries not more than in 70% of cases. We analyzed predictors of non-fulfillment of reperfusion therapy in patients with STEACS included into ACS registry conducted in the Kemerovo cardiological dispensary. Reperfusion therapy was not carried out in 154 patients with STEACS (36.2%). Main predictors of non-fulfillment of reperfusion were age older than 75 years (odds ratio [OR] 47.97, 95% confidence interval [CI] 19.47-118.21), admission later than in 12 hours after onset of disease (OR 4.29, 95%CI 1.52-12.13), history of myocardial infarction (OR 2.68, 95%CI 1.11-6.48). Thus there are factors including subjective ones which preclude full-fledged use of contemporary recommendations on the management of patients with STEACS
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页码:4 / 9
页数:6
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