Long-term outcome in non ST elevation acute coronary syndrome in a real-life setting: Ten-year outcome in a North African center

IF 2.2 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Archives of Cardiovascular Diseases Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI:10.1016/j.acvd.2024.10.090

F. Boukerche

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Abstract

Introduction

Long-term outcome of the non ST elevation acute coronary syndrome in real-life patient cohorts is not well known.

Objective

The objective of this study was to survey the 10-year outcome of an NSTE-ACS patient cohort admitted to a university hospital and to explore factors affecting the outcome.

Method

A total of 292 consecutive patients (median age 62 years) with non-ST-elevation myocardial infarction (NSTEMI) or unstable angina pectoris (UA) in 2014–2015 were included and followed up for 10 years.

Results

Mortality for NSTEMI and UA patients during the follow-up period was 26.5% and 15.6% (p < 0.031), respectively (Fig. 1). In multivariable Cox regression analysis, only age and Syntax score level were independently associated with patient outcome.

Conclusion

NSTE-ACS proved to have high mortality rates during long-term follow-up in a real-life patient cohort. NSTEMI patients had worse outcome than UA patients during the whole follow-up period.

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现实生活中非ST段抬高急性冠状动脉综合征的长期预后：北非中心的十年预后

非ST段抬高急性冠状动脉综合征在现实患者群体中的长期预后尚不清楚。目的本研究的目的是调查一所大学医院收治的NSTE-ACS患者队列的10年预后，并探讨影响预后的因素。方法选取2014-2015年非st段抬高型心肌梗死（NSTEMI）或不稳定型心绞痛（UA）患者共292例（中位年龄62岁），随访10年。结果NSTEMI和UA患者随访期间的死亡率分别为26.5%和15.6% (p <；0.031)（图1）。在多变量Cox回归分析中，只有年龄和Syntax评分水平与患者预后独立相关。结论nste - acs在长期随访中具有较高的死亡率。在整个随访期间，NSTEMI患者的预后比UA患者差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Cardiovascular Diseases 医学-心血管系统

CiteScore

4.40

自引率

6.70%

发文量

审稿时长

34 days

期刊介绍： The Journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles and editorials. Topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.