The second survey of the Saudi Acute Myocardial Infarction Registry Program: Main results and temporal changes in
Ayman AlSaleh1, Shukri M AlSaif2, Osama Alhadramy3,4
1Department of Cardiac Sciences, King Fahad Cardiac Center, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Plos One
|September 2, 2025
Summary
The Saudi Acute Myocardial Infarction Registry shows younger patients with high cardiovascular risk factors. While primary PCI has improved, better emergency medical services and revascularization are needed for STEMI and NSTEMI.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- The Saudi Acute Myocardial Infarction Registry (STARS) program monitors acute myocardial infarction (AMI) in Saudi Arabia.
- This second phase assesses changes in patient demographics, care, and management benchmarks for AMI.
Purpose of the Study:
- To evaluate temporal changes in the clinical characteristics, management, and outcomes of AMI patients in Saudi Arabia.
- To assess management benchmarks for ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation myocardial infarction (NSTEMI).
Main Methods:
- A 5-year, multi-center prospective registry with a snapshot design was conducted in 50 Saudi hospitals.
- 2,690 patients with AMI (STEMI or NSTEMI) were enrolled between September 2021 and January 2023.
Main Results:
- The average patient age was 57 years, with 58% having diabetes and 58% having hypertension.
- Primary percutaneous coronary intervention (PCI) was performed in 47.1% of STEMI patients; 44.5% received thrombolytics.
- Door-to-balloon time averaged 63 minutes, and door-to-needle time was 25 minutes. All-cause mortality was 2.4%.
Conclusions:
- The registry identified younger AMI patients with a high prevalence of coronary artery disease risk factors.
- Primary PCI performance indicators have improved, but Emergency Medical Services (EMS) utilization and acute revascularization require enhancement for STEMI and NSTEMI.
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