SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3
Erlikh A. D. on behalf of the RECORD-3* working teamAim. Evaluation of 6-month observation of acute coronary syndrome (ACS) patients included into the ACS registry RECORD-3.Material and methods. To the registry RECORD-3, all ACS patients were being included if hospitalized during 1 month in 2015 (ma...
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«FIRMA «SILICEA» LLC
2017-12-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/1565 |
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| author | A. D. Erlikh |
| author_facet | A. D. Erlikh |
| author_sort | A. D. Erlikh |
| collection | DOAJ |
| description | Erlikh A. D. on behalf of the RECORD-3* working teamAim. Evaluation of 6-month observation of acute coronary syndrome (ACS) patients included into the ACS registry RECORD-3.Material and methods. To the registry RECORD-3, all ACS patients were being included if hospitalized during 1 month in 2015 (march-april) in 47 centers among 37 Russia cities. Follow-up lasted for 6 months with telephone calls, in 35 centers.Results. Among all participants (n=2370), 6-month outcomes were collected in 1433 (64%). By most demographic, anamestic and clinical characteristics the group of those failed to collect data was comparable with the others. Frequency of fatal outcomes after discharge in 6 months post ACS was 4,2%, new myocardial infarction (MI) — 3,2%, stroke — 0,7%. Frequency of combination events (death+MI), death+ MI+stroke reached 5,7% and 8,5%, respectively. Coronary intervention in 6 months was done in 12,0% (2/3 underwent PCI, 1/3 — bypass surgery). In 19% cases the intervention was urgent. There were no statistically significant differences by the prevalence of adverse events and bypass surgery among those with diagnosed MI in-patient and non-MI, as between ACS with ST elevation (STEACS) or no (NSTEACS), excluding the prevalence of fatal outcomes: 2,8% in STEACS and 5,0% in NSTEACS (p=0,038). The grade of frequency decline of prescribed medication intake by 6 months reached 12% for aspirin, 29% for clopidogrel, 33% for ticagrelor, 29% for oral anticoagulants, 28 for ACEi/ARB, 19% for beta-blockers, 21% for statins.Conclusion. By multifactorial regression analysis, the independent predictors of fatal outcomes were found, that developed in 6 months post discharge. |
| format | Article |
| id | doaj-art-cd90e78305de48389cbb89e4d4e6bcc3 |
| institution | DOAJ |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2017-12-01 |
| publisher | «FIRMA «SILICEA» LLC |
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| series | Российский кардиологический журнал |
| spelling | doaj-art-cd90e78305de48389cbb89e4d4e6bcc32025-08-20T02:59:37Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202017-12-0101181410.15829/1560-4071-2017-11-8-141364SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3A. D. Erlikh0N. E. Bauman City Clinical Hospital № 29Erlikh A. D. on behalf of the RECORD-3* working teamAim. Evaluation of 6-month observation of acute coronary syndrome (ACS) patients included into the ACS registry RECORD-3.Material and methods. To the registry RECORD-3, all ACS patients were being included if hospitalized during 1 month in 2015 (march-april) in 47 centers among 37 Russia cities. Follow-up lasted for 6 months with telephone calls, in 35 centers.Results. Among all participants (n=2370), 6-month outcomes were collected in 1433 (64%). By most demographic, anamestic and clinical characteristics the group of those failed to collect data was comparable with the others. Frequency of fatal outcomes after discharge in 6 months post ACS was 4,2%, new myocardial infarction (MI) — 3,2%, stroke — 0,7%. Frequency of combination events (death+MI), death+ MI+stroke reached 5,7% and 8,5%, respectively. Coronary intervention in 6 months was done in 12,0% (2/3 underwent PCI, 1/3 — bypass surgery). In 19% cases the intervention was urgent. There were no statistically significant differences by the prevalence of adverse events and bypass surgery among those with diagnosed MI in-patient and non-MI, as between ACS with ST elevation (STEACS) or no (NSTEACS), excluding the prevalence of fatal outcomes: 2,8% in STEACS and 5,0% in NSTEACS (p=0,038). The grade of frequency decline of prescribed medication intake by 6 months reached 12% for aspirin, 29% for clopidogrel, 33% for ticagrelor, 29% for oral anticoagulants, 28 for ACEi/ARB, 19% for beta-blockers, 21% for statins.Conclusion. By multifactorial regression analysis, the independent predictors of fatal outcomes were found, that developed in 6 months post discharge.https://russjcardiol.elpub.ru/jour/article/view/1565acute coronary syndromeregistryrecord-3long term outcomestreatment adherence |
| spellingShingle | A. D. Erlikh SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3 Российский кардиологический журнал acute coronary syndrome registry record-3 long term outcomes treatment adherence |
| title | SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3 |
| title_full | SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3 |
| title_fullStr | SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3 |
| title_full_unstemmed | SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3 |
| title_short | SIX-MONTH OUTCOMES IN ACUTE CORONARY SYNDROME PATIENTS INCLUDED IN THE REGISTRY RECORD-3 |
| title_sort | six month outcomes in acute coronary syndrome patients included in the registry record 3 |
| topic | acute coronary syndrome registry record-3 long term outcomes treatment adherence |
| url | https://russjcardiol.elpub.ru/jour/article/view/1565 |
| work_keys_str_mv | AT aderlikh sixmonthoutcomesinacutecoronarysyndromepatientsincludedintheregistryrecord3 |