Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research
Aim. To describe the characteristics of the patient with MI who is admitted to a hospital and to characterize the main diagnostic and treatment interventions in clinic.Material and methods. This study is observational and the part of big international project. It includes a representative sample of...
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Столичная издательская компания
2018-09-01
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| Series: | Рациональная фармакотерапия в кардиологии |
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| Online Access: | https://www.rpcardio.online/jour/article/view/1715 |
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| author | A. V. Kontsevaya K. Bates E. A. Goryachkin N. Bobrova L. I. Syromiatnikova Yu. V. Popova D. Yu. Platonov I. V. Osipova A. M. Nedbaikin T. N. Malorodova O. A. Mirolyubova D. V. Kryuchkov L. A. Khaisheva A. S. Galyavich M. V. Franz A. Yu. Efanov D. V. Duplyakov O. M. Drapkina D. Leon M. McKee |
| author_facet | A. V. Kontsevaya K. Bates E. A. Goryachkin N. Bobrova L. I. Syromiatnikova Yu. V. Popova D. Yu. Platonov I. V. Osipova A. M. Nedbaikin T. N. Malorodova O. A. Mirolyubova D. V. Kryuchkov L. A. Khaisheva A. S. Galyavich M. V. Franz A. Yu. Efanov D. V. Duplyakov O. M. Drapkina D. Leon M. McKee |
| author_sort | A. V. Kontsevaya |
| collection | DOAJ |
| description | Aim. To describe the characteristics of the patient with MI who is admitted to a hospital and to characterize the main diagnostic and treatment interventions in clinic.Material and methods. This study is observational and the part of big international project. It includes a representative sample of patients with MI admitted to 16 clinics in 13 regions of Russian Federation (Arkhangelsk region, Belgorod region, Bryansk region, Tver region, Saratov region, Rostov region, Samara region, the Republic of Tatarstan, Perm region, Tyumen region, Khanty-Mansiysk Autonomous district, Kemerovo region, Altai region). Patients were selected at random from among those experiencing a MI that were alive on the next morning after hospitalization. Enrollment took place from June 2015 to August 2016.Results. Of 1,128 patients included in the study, 872 were male (77.3%) and 256 females. 21.4% of patients had a previous MI, 8.3% had undergone PCI, and 2.2% CABG. Turning to cardiovascular risk factors, 46.2% of patients smoked prior to hospitalization, 34.6% were obese and 52.1% had a high cholesterol level. Only 40.0% of patients had no contact with the health care system within 12 months before the MI. Every fourth patient (25.1%) had undergone dispensarisation within 12 months before MI, women significantly often than men (33.5% and 22.6%, p<0.001). Initial revascularization was performed in 73.2% of patients, PCI was the initial revascularization attempt in 49.4% of patients, and PCI with stenting in 46.7%.Conclusion. Patient with a MI in Russian clinics is likely to have had a history of cardiovascular disease, and to have regular contact with the health care system within 12 months before the development of cardiovascular event. We demonstrated the high rates of appropriate MI treatment, without significant gender and age difference (except for thrombolysis), however, there is a reserve for increasing the proportion of patients who are undergoing revascularization. |
| format | Article |
| id | doaj-art-59cd73494e42495eb0eb9c5e05987896 |
| institution | Kabale University |
| issn | 1819-6446 2225-3653 |
| language | English |
| publishDate | 2018-09-01 |
| publisher | Столичная издательская компания |
| record_format | Article |
| series | Рациональная фармакотерапия в кардиологии |
| spelling | doaj-art-59cd73494e42495eb0eb9c5e059878962025-08-23T10:00:29ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532018-09-0114447448710.20996/1819-6446-2018-14-4-474-4871497Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International ResearchA. V. Kontsevaya0K. Bates1E. A. Goryachkin2N. Bobrova3L. I. Syromiatnikova4Yu. V. Popova5D. Yu. Platonov6I. V. Osipova7A. M. Nedbaikin8T. N. Malorodova9O. A. Mirolyubova10D. V. Kryuchkov11L. A. Khaisheva12A. S. Galyavich13M. V. Franz14A. Yu. Efanov15D. V. Duplyakov16O. M. Drapkina17D. Leon18M. McKee19National Medical Research Center for Preventive MedicineLondon School of Hygiene & Tropical MedicineNational Medical Research Center for Preventive MedicineLondon School of Hygiene & Tropical MedicinePerm State Medical University named after Academician Ye.A. VagnerSaratov State Medical University named after V.I. RazumovskyTver Regional Clinical HospitalAltai State Medical UniversityBryansk Regional Cardiology HospitalBelgorod State National Research UniversityNorthern State Medical UniversityResearch Institute for Complex Issues of Cardiovascular DiseasesRostov State Medical UniversityKazan State Medical UniversityKhanty-Mansiysk District Clinical HospitalTyumen State Medical UniversitySamara Regional Cardiology ClinicNational Medical Research Center for Preventive MedicineLondon School of Hygiene & Tropical Medicine; The Arctic University of NorwayLondon School of Hygiene & Tropical MedicineAim. To describe the characteristics of the patient with MI who is admitted to a hospital and to characterize the main diagnostic and treatment interventions in clinic.Material and methods. This study is observational and the part of big international project. It includes a representative sample of patients with MI admitted to 16 clinics in 13 regions of Russian Federation (Arkhangelsk region, Belgorod region, Bryansk region, Tver region, Saratov region, Rostov region, Samara region, the Republic of Tatarstan, Perm region, Tyumen region, Khanty-Mansiysk Autonomous district, Kemerovo region, Altai region). Patients were selected at random from among those experiencing a MI that were alive on the next morning after hospitalization. Enrollment took place from June 2015 to August 2016.Results. Of 1,128 patients included in the study, 872 were male (77.3%) and 256 females. 21.4% of patients had a previous MI, 8.3% had undergone PCI, and 2.2% CABG. Turning to cardiovascular risk factors, 46.2% of patients smoked prior to hospitalization, 34.6% were obese and 52.1% had a high cholesterol level. Only 40.0% of patients had no contact with the health care system within 12 months before the MI. Every fourth patient (25.1%) had undergone dispensarisation within 12 months before MI, women significantly often than men (33.5% and 22.6%, p<0.001). Initial revascularization was performed in 73.2% of patients, PCI was the initial revascularization attempt in 49.4% of patients, and PCI with stenting in 46.7%.Conclusion. Patient with a MI in Russian clinics is likely to have had a history of cardiovascular disease, and to have regular contact with the health care system within 12 months before the development of cardiovascular event. We demonstrated the high rates of appropriate MI treatment, without significant gender and age difference (except for thrombolysis), however, there is a reserve for increasing the proportion of patients who are undergoing revascularization.https://www.rpcardio.online/jour/article/view/1715myocardial infarctionrussian federationhealthcare systemclinicrisk factors |
| spellingShingle | A. V. Kontsevaya K. Bates E. A. Goryachkin N. Bobrova L. I. Syromiatnikova Yu. V. Popova D. Yu. Platonov I. V. Osipova A. M. Nedbaikin T. N. Malorodova O. A. Mirolyubova D. V. Kryuchkov L. A. Khaisheva A. S. Galyavich M. V. Franz A. Yu. Efanov D. V. Duplyakov O. M. Drapkina D. Leon M. McKee Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research Рациональная фармакотерапия в кардиологии myocardial infarction russian federation healthcare system clinic risk factors |
| title | Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research |
| title_full | Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research |
| title_fullStr | Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research |
| title_full_unstemmed | Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research |
| title_short | Hospital Stage of Myocardial Infarction Treatment in 13 Regions of Russian Federation by Results of the International Research |
| title_sort | hospital stage of myocardial infarction treatment in 13 regions of russian federation by results of the international research |
| topic | myocardial infarction russian federation healthcare system clinic risk factors |
| url | https://www.rpcardio.online/jour/article/view/1715 |
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