Clinical, Anamnestic, and Demographic Characteristics of Patients with Myocardial Infarction in Russian Federation According to the Russian Registry of Acute Myocardial Infarction - REGION-IM.

IF 0.5 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Kardiologiya Pub Date : 2024-04-30 DOI:10.18087/cardio.2024.4.n2625
S A Boytsov, R M Shakhnovich, S N Tereschenko, A D Erlikh, D V Pevsner, Yu K Rytova, R G Gulyan, I A Markov, L V Shchepinova, M A Fomina, A S Kletkina, T V Grigoreva, V I Dagaeva, L S Devyatova, L Yu Chesnokova, E S Semenova, Ya A Kamenetz
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Abstract

Aim: Based on data from the Russian REGION-MI registry, to characterize patients with myocardial infarction (MI) hospitalized in Russian hospitals, describe their historical, demographic, and clinical characteristics, and compare the results with the data of previous Russian and international registries of acute coronary syndrome.

Material and methods: REGION-MI is a multicenter prospective observational study. The follow-up period was divided into three stages: during the hospital stay, at 6 and 12 months after the inclusion in the registry. Demographic and historic data and information about the present case of MI were entered into the patient's individual record card.

Results: The median age of all patients was 63 years; 68% of patients were men. The mean age of women was older than that of men. Among all MI cases, 70% were ST-segment elevation myocardial infarction (STEMI). Patients with non-ST-segment elevation myocardial infarction (NSTEMI) were older and had more comorbidities than patients with STEMI. The median time from the first symptoms to ECG recording was two hours, and from the first symptoms to CAG 7 hours. CAG was performed in 91% of patients with STEMI and 84% of patients with NSTEMI. Stenting was performed in 69% of patients. Although many patients had a complicated cardiovascular history, at the time of admission only 31.5% of patients were taking at least one drug from the groups of antiplatelets, oral anticoagulants, statins, and beta-blockers.

Conclusion: Patients with MI in the Russian Federation are younger than patients with MI in European countries. Among the clinical and historical characteristics, conspicuous is the presence of modifiable risk factors in many patients, as well as the presence of a previous diagnosis of ischemic heart disease. Furthermore, a small proportion of patients took statins, antiplatelet agents or anticoagulants at the outpatient stage, which indicates a great reserve of both primary and secondary prevention of cardiovascular diseases in the Russian Federation. The delayed seeking medical help is also noticeable, which indicates the need for increasing the public awareness of the symptoms of MI and the importance of timely hospitalization.

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根据俄罗斯急性心肌梗死登记处 - REGION-IM 统计的俄罗斯联邦心肌梗死患者的临床、病理和人口特征。
目的:根据俄罗斯REGION-MI登记处的数据,描述在俄罗斯医院住院的心肌梗死(MI)患者的特征,描述他们的历史、人口统计学和临床特征,并将结果与之前俄罗斯和国际急性冠状动脉综合征登记处的数据进行比较:REGION-MI 是一项多中心前瞻性观察研究。随访期分为三个阶段:住院期间、纳入登记册后的 6 个月和 12 个月。人口统计学数据、历史数据和本次心肌梗死病例的相关信息都被输入了患者的个人记录卡:所有患者的中位年龄为 63 岁,68% 的患者为男性。女性的平均年龄大于男性。在所有心肌梗死病例中,70%为ST段抬高型心肌梗死(STEMI)。与 STEMI 患者相比,非 ST 段抬高型心肌梗死(NSTEMI)患者年龄更大,合并症更多。从首发症状到心电图记录的中位时间为两小时,从首发症状到CAG的中位时间为7小时。91%的STEMI患者和84%的NSTEMI患者接受了CAG治疗。69%的患者接受了支架植入术。虽然许多患者有复杂的心血管病史,但入院时只有31.5%的患者至少服用了一种抗血小板药物、口服抗凝剂、他汀类药物和β-受体阻滞剂:结论:俄罗斯联邦的心肌梗死患者比欧洲国家的心肌梗死患者更年轻。在临床和病史特征方面,许多患者存在可改变的风险因素,以及曾被诊断为缺血性心脏病。此外,一小部分患者在门诊阶段服用了他汀类药物、抗血小板药物或抗凝剂,这表明俄罗斯联邦在心血管疾病的一级和二级预防方面都有很大的储备。延迟就医的现象也很明显,这表明有必要提高公众对心肌梗死症状的认识以及及时住院治疗的重要性。
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来源期刊
Kardiologiya
Kardiologiya 医学-心血管系统
CiteScore
1.70
自引率
20.00%
发文量
94
审稿时长
3-8 weeks
期刊介绍: “Kardiologiya” (Cardiology) is a monthly scientific, peer-reviewed journal committed to both basic cardiovascular medicine and practical aspects of cardiology. As the leader in its field, “Kardiologiya” provides original coverage of recent progress in cardiovascular medicine. We publish state-of-the-art articles integrating clinical and research activities in the fields of basic cardiovascular science and clinical cardiology, with a focus on emerging issues in cardiovascular disease. Our target audience spans a diversity of health care professionals and medical researchers working in cardiovascular medicine and related fields. The principal language of the Journal is Russian, an additional language – English (title, authors’ information, abstract, keywords). “Kardiologiya” is a peer-reviewed scientific journal. All articles are reviewed by scientists, who gained high international prestige in cardiovascular science and clinical cardiology. The Journal is currently cited and indexed in major Abstracting & Indexing databases: Web of Science, Medline and Scopus. The Journal''s primary objectives Contribute to raising the professional level of medical researchers, physicians and academic teachers. Present the results of current research and clinical observations, explore the effectiveness of drug and non-drug treatments of heart disease, inform about new diagnostic techniques; discuss current trends and new advancements in clinical cardiology, contribute to continuing medical education, inform readers about results of Russian and international scientific forums; Further improve the general quality of reviewing and editing of manuscripts submitted for publication; Provide the widest possible dissemination of the published articles, among the global scientific community; Extend distribution and indexing of scientific publications in major Abstracting & Indexing databases.
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