THE ORGANIZATION OF MEDICAL CARE FOR ACUTE CORONARY SYNDROME PATIENTS IN PCI CAPABLE AND PCI NON-CAPABLE HOSPITALS FROM 2009-2012

Abstract

Aim of the study. To evaluate the organization of medical care for acute coronary syndrome (ACS) patients in PCI capable and PCI non-capable hospitals from 2009-2012. Materials. Russian Registry of Acute Coronary Syndromes (ACS Registry) with an internet tracking was created in 2008 year. We performed an observational study of 139 882 ACS patients (56% M, 44% F; av. age - 65 years (56;75) [25%;75%]); ACS with ST elevation pts (ACS STe) - 45 707, ACS non ST elevation pts -84 603. Pts. were hospitalized due to ACS, prospectively enrolled in 167 hospitals from January 2009 to January 2013 in the ongoing ACS Registry. The ACS registry is carried out in cooperation with the Russian Ministry of Health. Results. The majority pts. before ACS had cardiovascular diseases and bad control of arterial hypertension. Many ACS STe pts to correspond for high risk in-hospital and 6-months death (GRACE risk score) (45,4% и 36,7%, accordingly). In 2012 fibrinolysis was used in 30,3% (positive dynamic on 8,3% from 2009). Percutaneous coronary interventions (PCI) for ACS STe pts. were used in 28,2% (primary PCI more than 80% pts). Conclusion. Russian ACS Registry may provide with information concerting characteristics and treatments of ACS pts. in different hospitals from Russia.