サウジアラビア急性心筋梗塞登録プログラムの第2回調査:主な結果とケアにおける時間的変化 (STARS-2プログラム)
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
まとめ
サウジアラビアの急性心筋梗塞の登録では 心血管疾患のリスクが高い若い患者を示しています プライマリPCIは改善しているが,STEMIとNSTEMIにはより良い緊急医療と再血管化が必要である.
科学分野:
- 心臓病科
- 公衆衛生
- 流行病学
背景:
- サウジアラビア急性心筋梗塞登録 (STARS) プログラムは,サウジアラビアにおける急性心筋梗塞 (AMI) を監視しています.
- この第2段階では,AMIの患者の人口統計,ケア,管理基準の変化を評価します.
研究 の 目的:
- サウジアラビアのAMI患者の臨床的特徴,管理,結果の時間的変化を評価する.
- STセグメント上昇心筋梗塞 (STEMI) と非STセグメント上昇心筋梗塞 (NSTEMI) の管理基準を評価する.
主な方法:
- サウジアラビアの50の病院で 5年間のマルチセンターの予期登録が行われました
- 2021年9月から2023年1月までの間にAMI (STEMIまたはNSTEMI) の患者2,690人が登録されました.
主要な成果:
- 患者の平均年齢は57歳で,58%が糖尿病,58%が高血圧でした.
- STEMI患者の47. 1%にパーキュタヌス冠動脈干渉 (PCI) が実施され,44. 5%が血栓抑制剤を受けた.
- ドアからバルーンまでの平均時間は63分 ドアから針までの時間は25分 死亡率は2.4%でした.
結論:
- レジストリでは,冠動脈疾患の危険因子の高い有病率を持つ若いAMI患者を特定しました.
- 主要なPCIのパフォーマンスの指標は改善しているが,緊急医療サービス (EMS) の利用と急性再血管化はSTEMIとNSTEMIの強化を必要としている.
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