The national moroccan registry of ST-elevation myocardial infarction (MR-MI)

Area of Science:

• Cardiology
• Public Health
• Clinical Research

Background:

• The MR-MI registry is the inaugural national registry for ST-elevation myocardial infarction (STEMI) in Morocco.
• It aims to evaluate patient management and characterize STEMI's clinical and therapeutic aspects across Moroccan cardiology centers.

Purpose of the Study:

• To assess patient management modalities for STEMI in Morocco.
• To highlight the clinical and therapeutic characteristics of STEMI on a national scale.

Main Methods:

• Adult patients with STEMI within 5 days of symptom onset were enrolled from April to August 2018.
• Data were collected from 57 centers in 22 cities, covering 70% of Moroccan STEMI-treating facilities.
• Sociodemographic, clinical, management, revascularization, and follow-up data were gathered using electronic and paper case report forms.

Main Results:

• 809 patients were recruited, predominantly male (74.8%) with an average age of 62.6 years.
• Key risk factors included smoking (38.3%), hypertension (30.7%), and diabetes (28%).
• Only 30% of patients were admitted within 6 hours, and 49.6% received early revascularization, with in-hospital and one-month mortality rates of 5.2% and 3.2%, respectively.

Conclusions:

• MR-MI is the first national STEMI registry in Morocco.
• Management delays are significant compared to international standards, with less than 50% of timely presenting patients receiving early revascularization.
• Further efforts are required to optimize STEMI diagnosis and treatment in Morocco.