EFFECTS OF MYOCARDIAL INFARCTION IN PAST HISTORY AND PREINFARCTION SYNDROME ON DURATION OF PREHOSPITAL STAGE OF ACUTE MYOCARDIAL INFARCTION
https://doi.org/10.17802/2306-1278-2016-1-55-59
Abstract
Purpose. To compare duration of the prehospital stage of acute myocardial infarction (AMI) in patients with and without myocardial infarction in past medical history and with and without preinfarction syndrome over six years.
Materials and methods. The study was based on 2008 and 2013 data form the information analysis database of the populationbased epidemiology program of the World Health Organization “Register of Acute Myocardial Infarction”. A total of 627 and 840 cases of AMI were analyzed in Tomsk in 2008 and 2013, respectively. The rates of individuals with AMI in past medical history were 170 (27.1 %) in 2008 and 223 (27.7 %) in 2013; the rates of patients with preinfarction syndrome were 382 (60.9 %) in 2008 and 448 (53.3 %) in 2013.
Results. Among patients with and without AMI in past medical history, no significant differences were found in duration of prehospital stages between 2008 and 2015 both for the entire periods and for the temporal components of prehospital stage. Total duration of prehospital stage was longer in patients with preinfarction syndrome compared with those without it. It was true both for the entire prehospital stage duration and for the particular periods except the period of medical delay (physical examination and hospital admission) when the differences were insignificant.
Conclusion. This study showed that AMI in past medical history significantly affected neither prehospital stage duration of index AMI nor promptness of seeking medical help by patients. Our results confirmed literature data suggesting that the presence of preinfarction syndrome contributes to the longer duration of the prehospital stage of AMI because patients get used to their pain and spend more time on making decision to seek medical assistance.
About the Authors
S. A. OKRUGIN
Department of General Cardiology and Epidemiology of Cardiovascular Diseases, Federal State Budgetary Scientific Institution Research Institute for Cardiology, Tomsk, Russia
Russian Federation
Russian Federation
111A, Kievskaya st., Tomsk, 634012, Russian Federation Tel. +7 (3822) 56-52-75
A. A. GARGANEEVA
Department of General Cardiology and Epidemiology of Cardiovascular Diseases, Federal State Budgetary Scientific Institution Research Institute for Cardiology, Tomsk, Russia
Russian Federation
Russian Federation
E. A. KUZHELEVA
Department of General Cardiology and Epidemiology of Cardiovascular Diseases, Federal State Budgetary Scientific Institution Research Institute for Cardiology, Tomsk, Russia
Russian Federation
Russian Federation
K. N. BOREL
Department of General Cardiology and Epidemiology of Cardiovascular Diseases, Federal State Budgetary Scientific Institution Research Institute for Cardiology, Tomsk, Russia
Russian Federation
Russian Federation
References
1. Набережнова И . Г ., Маянская С. Д. Проблемы догоспитального тромболизиса при инфаркте миокарда и их решение. Практическая медицина. 2011; 4 (52): 23–28. Naberezhnova I. G., Mayanskaya S. D. Problems of prehospital thrombolysis in myocardial infarction and their solution. Prakticheskaya Meditsina. 2011; 4 (52): 23–28. [In Russ].
2. Sayah A. J., Roe M. T. The Role of Fibrinolytics in the Prehospital Treatment of ST-Elevation Myocardial Infarction (STEMI). J. of Emerg. Med. 2008; 34 (4): 405–416. DOI: 10.1016/j.jemermed.2007.02.068.
3. Bergmeijer T. O., Postma S., Vant Hof A. W., Lichtveld R. A., Ten Berg J. Prehospital treatment of ST-segment elevated myocardial infarction patients. Future Cardiol. 2013; 9 (2): 229–241. DOI: 10.2217/fca.12.90.
4. Иванцов Е . Н., Хасанов Н. Р . Госпитальная летальность при инфаркте миокарда с подъемом ST: фактор времени до первого медицинского контакта. Практическая медицина. 2014; 6 (82): 118–120. Ivantsov E. N., Khasanov N. R. Hospital lethality in ST segment elevation myocardial infarction: factor of time before first medical contact. Prakticheskaya Meditsina. 2014; 6 (82):118–120. [In Russ].
5. Остроумова Л . А. Влияние базовой терапии на клинический исход острого инфаркта миокарда на догоспитальном этапе скорой медицинской помощи. Скорая медицинская помощь. 2013; 4: 39–45. Ostroumova L. A. Effects of background therapy on clinical outcome of acute myocardial infarction at the prehospital stage of emergency. Skoraya Meditsinskaya Pomoshch. 2013; 4: 39–45. [In Russ].
6. Гарганеева А. А., Округин С. А., Борель К . Н., Ефимова Е . В. Догоспитальная летальность от острого инфаркта миокарда и возможные пути ее снижения. Комплексные проблемы сердечно-сосудистых заболеваний. 2012; 2: 28–32. Garganeeva A. A., Okrugin S. A., Borel K. N., Efimova E. V. Prehospital lethality from acute myocardial infarction and possible ways of reducing it. Kompleksnie Problemy Serdechno- Sosudistikh Zabolevaniy. 2012; 2: 28–32. [In Russ].
7. Ким З . Ф., Подольская А. А. Некоторые аспекты организации неотложной кардиологической помощи. Вестник современной клинической медицины. 2013; 6 (5): 103–108. Kim Z. F., Podolskaya A. A. Some aspects of emergency cardiac care organization. Vestnik Sovermennoy Klinichaskoy Meditsiny. 2013; 6 (5): 103–108. [In Russ].
8. Назаров А. М. Нереализованные возможности скорой медицинской помощи при госпитализации больных инфарктом миокарда. Скорая медицинская помощь. 2014; 4: 27–30. Nazarov A. M. Opportunities of emergency medical services in hospitalizing myocardial infarction patients. Skoraya Meditsinskaya Pomoshch. 2014; 4: 27–30. [In Russ].
9. Isacsson R. M., Brulin C., Eliasson M., Naslund U., Zingmark K. Older womens prehospital experiences of their first myocardial infarction. J. cardiovasc. Nurs. 2013; 28: 360–369.
10. Gao Y., Zhang H. J. The Effect of symptoms on prehospital delay time in patients with acute myocardial infarction. J. Int. Med. Res. 2013; 41(5): 1724–1731.
11. Гинзбург М. Л ., Кутишенко Н. П., Марцевич С. Ю. Анализ факторов, влияющих на сроки поступления в стационар пациентов с острым коронарным синдромом (по данным исследования ЛИС – Люберецкое исследование смертности больных, перенесших острый инфаркт миокарда). Рациональная фармакотерапия в кардиологии. 2012; 8 (2): 141–148. Ginzburg M. L., Kutishenko N. P., Martsevich S. Yu. Analysis of factors affecting hospital admittance time in patients with acute coronary syndrome (according to data of LIS study – Lubertsy study of mortality among patients who suffered acute myocardial infarction). Ratsionalnaya Farmakoterapiya v Kardiologii. 2012; 8 (2): 141–148. [In Russ].
12. Пайков В. Л . Острый коронарный синдром: оценка своевременности обращаемости населения и оказания скорой медицинской помощи. Вестник современной клинической медицины. 2012; 5 (3): 9–11. Paykov V. L. Acute coronary syndrome: evaluation of promptness of seeking medical assistance by population and delivery of emergency medical services. Vestnik Sovremennoy Klinicheskoy Meditsiny. 2012; 5 (3): 9–11. [In Russ].
13. Бетиг З ., Мазур Н. А., Метелица В. И . Сравнительные данные по регистрам инфаркта миокарда в Москве и Берлине. Эпидемиология сердечно-сосудистых заболеваний. М.: Медицина. 1977: 166–193. Betig Z., Mazur N. A., Metelitsa V. I. Comparative data of myocardial infarction registers in Moscow and Berlin. Epidemiology of cardiovascular diseases. Moscow: Meditsina; 1977: 166–193. [In Russ].
14. Малая Л . Т., Власенко М. А., Микляев И . Ю. Инфаркт миокарда. М.: Медицина; 1981. Malaya L. T., Vlasenko M. A., Miklyaev I. Yu. Myocardial infarction. Moscow: Meditsina; 1981.[In Russ].
15. Kalla K., Christ G., Karnik R., Malzer R., Norman G., Prachar H. et al. Implementation of Guidelines Improves the Standard of Care: The Viennese Registryon on Reperfusion Strategiesin in ST-Elevation Myocardial Infarction (Vienna STEMI Registry). Circulation. 2006; 113: 2398–2405.
16. Руда М. Я . Острый коронарный синдром: система организации лечения. Кардиология. 2011; 3: 4–9. Ruda M. Ya. Acute coronary syndrome: health management system. Kardiologiia. 2011; 3: 4–9. [In Russ].
Review
For citations:
OKRUGIN S.A., GARGANEEVA A.A., KUZHELEVA E.A., BOREL K.N. EFFECTS OF MYOCARDIAL INFARCTION IN PAST HISTORY AND PREINFARCTION SYNDROME ON DURATION OF PREHOSPITAL STAGE OF ACUTE MYOCARDIAL INFARCTION. Complex Issues of Cardiovascular Diseases. 2016;(1):55-59. (In Russ.) https://doi.org/10.17802/2306-1278-2016-1-55-59
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