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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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