摩洛哥国家ST升高心肌梗塞登记处 (MR-MI)
Aida Soufiani1, Hamza Chraibi2, Ilyasse Asfalou3
1Cardiology A Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco.
BMC cardiovascular disorders
|August 24, 2023
概括
摩洛哥心肌梗塞-心肌梗塞 (MR-MI) 注册表显示ST升高心肌梗塞 (STEMI) 护理的延迟. 在符合条件的患者中,不到一半的患者得到了及时的再血管化,这表明需要改进STEMI诊断和治疗策略.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 临床研究 临床研究
背景情况:
- 该MR-MI注册表是摩洛哥ST升高心肌梗塞 (STEMI) 的首个国家注册表.
- 它旨在评估患者管理,并描述摩洛哥心脏病中心STEMI的临床和治疗方面.
研究的目的:
- 评估摩洛哥的STEMI患者管理方式.
- 在全国范围内突出STEMI的临床和治疗特征.
主要方法:
- 从2018年4月到8月,在症状出现后5天内患有STEMI的成年患者被纳入研究.
- 从22个城市的57个中心收集了数据,覆盖了摩洛哥70%的STEMI治疗设施.
- 使用电子和纸质案例报告表格收集了社会人口统计,临床,管理,再血管化和后续数据.
主要成果:
- 招募了809名患者,主要是男性 (74.8%),平均年龄为62.6岁.
- 关键的危险因素包括吸烟 (38.3%),高血压 (30.7%) 和糖尿病 (28%).
- 只有30%的患者在6小时内入院,49.6%的患者接受了早期再血管化,住院和一个月死亡率分别为5.2%和3.2%.
结论:
- MR-MI是摩洛哥第一个国家STEMI注册表.
- 与国际标准相比,管理延迟是显著的,不到50%的及时呈现的患者接受了早期的再血管化.
- 需要进一步努力,以优化摩洛哥的STEMI诊断和治疗.
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