Abstract
The aimwas to study early outcomes in patients with suspected acute coronary syndrome without ST elevation who were transported by emergency to the vascular center.Material and Methods. We studied medical records from 396 patients with suspected acute coronary syndrome without ST elevation. A telephone survey of patients or their relatives was conducted within two months after the emergency call.Results. In-hospital diagnosis of acute coronary syndrome was confirmed only in 30.6% of patients with suspected acute coronary syndrome without ST elevation admitted to the vascular center. Cardiologists in the vascular center were ruling out diagnosis of acute coronary syndrome without ST elevation based on data of clinical examination and electrocardiography. During the following two months, 6.4% of the patients with ruled out diagnosis of acute coronary syndrome called emergency again; 2% of the patients were admitted with acute coronary syndrome to the vascular center; and 2.4% of the patients died at home.Conclusion. In real clinical practice, the assessment of myocardial necrosis biomarkers has been used not enough in cases of suspected acute coronary syndrome without ST elevation.
Highlights
Цель: ранние исходы у больных, доставляемых бригадами скорой медицинской помощи в сосудистый центр с подозрением на острый коронарный синдром без подъема ST
The aim was to study early outcomes in patients with suspected acute coronary syndrome without ST elevation who were transported by emergency to the vascular center
We studied medical records from 396 patients with suspected acute coronary syndrome without ST elevation
Summary
Цель: ранние исходы у больных, доставляемых бригадами скорой медицинской помощи в сосудистый центр с подозрением на острый коронарный синдром без подъема ST. Изучены медицинские документы у 396 пациентов с подозрением на острый коронарный синдром без подъема ST. Среди пациентов с подозрением на острый коронарный синдром без подъема ST, доставленных в сосудистый центр, только в 30,6% случаев в стационаре подтверждается диагноз. А. Ближайшие исходы у пациентов, доставленных скорой медицинской помощью в сосудистый центр с подозрением на острый коронарный синдром без стойкого подъема ST. The aim was to study early outcomes in patients with suspected acute coronary syndrome without ST elevation who were transported by emergency to the vascular center. A. Early Outcomes in Patients with Suspected Acute Coronary Syndrome Without Persistent ST Elevation, Transported to a Vascular Center by Ambulance. Целью нашего исследования явилось изучение в реальной клинической практике ранних исходов у пациентов с подозрением на ОКСбпST, доставленных бригадой скорой медицинской помощи, в зависимости от факта госпитализации
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