HOSPITAL OUTCOMES IN PATIENTS WITH NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME ACCORDING TO CLINICAL PRACTICE
https://doi.org/10.17802/2306-1278-2019-8-1-23-29
Abstract
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.
About the Authors
M. A. Sinkov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, cardiac surgeon at the Department of Endovascular Methods of Diagnosis and Treatment,
6, Sosnoviy Blvd., Kemerovo, 650002
N. A. Kochergin
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, research assistant at the Laboratory of Interventional Cardiology,
6, Sosnoviy Blvd., Kemerovo, 650002
V. I. Ganyukov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
PhD, Head of the Laboratory of Interventional Cardiology,
6, Sosnoviy Blvd., Kemerovo, 650002
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For citations:
Sinkov M.A., Kochergin N.A., Ganyukov V.I. HOSPITAL OUTCOMES IN PATIENTS WITH NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME ACCORDING TO CLINICAL PRACTICE. Complex Issues of Cardiovascular Diseases. 2019;8(1):23-29. (In Russ.) https://doi.org/10.17802/2306-1278-2019-8-1-23-29
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