Assessment of coronary care management and hospital mortality from ST-segment elevation myocardial infarction in the Kazakhstan population: Data from 2012 to 2015

Akimbaeva, Zhanar; Ismailov, Zhumagali; Аканов, А А; Radišauskas, Ričardas; Padaiga, Žilvinas

doi:10.1016/j.medici.2017.01.006

Cited by 3 publications

(3 citation statements)

References 29 publications

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“… 18 The D2D time decreased from 155 minutes to 73 minutes in Kazakhstan over a time period between 2012 and 2015. 19 The D2D time in our center appears to be comparable with the best results reported from developed countries and far shorter than the time in other developing countries. It is worthy of note that most studies have excluded some patients and, as such, have underestimated their reported time.…”

Section: Discussionsupporting

confidence: 86%

Strategies to Reduce the Door-to-Device time in ST-Elevation Myocardial Infarction Patients

Salarifar

Askari

Saadat

et al. 2019

JTHC

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Background: Performing primary percutaneous coronary intervention (PPCI) in a timely fashion is a crucial part of the management of ST-elevation myocardial infarction (STEMI). We aimed to evaluate the contributing factors to and the etiologies of a prolonged door-to-device (D2D) time. Methods: In 2016, the D2D time was measured in all patients who were treated with PPCI at Tehran Hear Center. The major causes of a prolonged D2D time (>90 min) were determined. The second phase was then started in 2017 by focusing on the determined causes, and direct feedback was given to anyone having contributed to the delayed D2D time. The D2D time was compared between these 2 years. Results: The mean age of the patients was 59.54±11.82 years, and 82.2% of them were men. The median D2D time decreased from 55 minutes (IQR25-75%: 40–82) in 2016 to 46 minutes (IQR25-75%: 34–70) in 2017 (P<0.001). In the first year, 79.8% of the patients had a D2D time of below 90 minutes; the figure rose to 84.1% of the patients in the second year (P=0.017). The first cause of a prolonged D2D time was missed ST-elevation in the first electrocardiogram by physician or nurse (8.4% of the cases). Along with a declining rate of missed STE to 6.7%, the median D2D time in the missed patients also decreased from 205 minutes to 177 minutes (P=0.011). The rate of ambulance arrival increased from 10.2% to 20.7% of the cases, and the median D2D time also declined from 45 (IQR25-75%: 34–55) to 34 (IQR25-75%: 25–55) in these patients (P<0.001). Conclusion: Even in the setting of a 24/7 on-site interventionist in the hospital, the dispatch system and prehospital electrocardiograms, along with regular assessment and feedback, may improve the D2D time.

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Section: Discussionsupporting

confidence: 86%

Strategies to Reduce the Door-to-Device time in ST-Elevation Myocardial Infarction Patients

Salarifar

Askari

Saadat

et al. 2019

JTHC

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“…The door-to-door time was reported to be 75 min in a single center [15]. A study from Kazakhstan showed that the door-to-door time decreased from 155 min to 73 min over a time period between 2012 and 2015 [16].…”

Section: Discussionmentioning

confidence: 99%

Reducing the Wire Crossing Time in Primary Percutaneous Coronary Angioplasty: A Study From a Tier II City in India

B¹,

Mohanta²,

Lal³

et al. 2022

Cureus

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Acute coronary syndrome is a major cause of morbidity and mortality all over the world. Timely intervention in ST-elevation myocardial infarction (STEMI) in the form of primary angioplasty is the gold standard of treatment to reduce mortality and morbidity. "Time is muscle" is the phrase to impress upon the importance of time in treating patients with STEMI. Traditional treatment target included "door to balloon time" of 90 min or less. This "door to balloon time" is now rephrased as the "wire crossing time" (WCT). The European Society of Cardiology (ESC) updated its guidelines further, reducing the target of wire crossing time to 60 min.The present study is a brief report on the door to wire crossing time status in one of the tertiary care centers of a nonmetro city. Retrospective analysis of case records was done for 79 patients admitted with acute MI who underwent primary angioplasty between November 2018 and June 2019 (pre-corrective action group). Various reasons for the delay, right from the time of the patient reaching the emergency room (ER) to the time of wire crossing, were analysed and measures were taken to reduce the delay. The post-corrective action group comprised 77 patients. The major causes of a prolonged WCT in our setup were delayed diagnosis of STEMI in ER, delay in giving consent by the patient's relatives, financial issues, and availability of cath lab technicians during the off-duty hour. The delay in WCT in our center was 121 min. Remedial actions were taken to mitigate the problems at each step, which resulted in a reduction of delay by 20 min, i.e., to 101 min leading to a significant difference in the outcome in view of morbidity and mortality.

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“…Acute myocardial infarction (AMI) and re-infarction are the leading causes of death worldwide 3 . AMI remains the leading fatal disease in Kazakhstan 4 . Therefore, Kazakhstan's national health policy has been predominantly focused on reducing mortality caused by diseases of the cardiovascular system 5 .…”

Section: Introductionmentioning

confidence: 99%

"Risk Factors for Recurrent Myocardial Infarction in the Kazakh Population"

Abdrakhmanova¹,

IMASHPAYEV²,

Tanabayeva³

et al. 2022

Arch Balk Med Union

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Facteurs de risque de l'infarctus du myocarde récurrent dans la population KazakheIntroduction. Les résidents du Kazakhstan ont un taux d'incidence plus élevé et un âge plus jeune d'apparition de l'infarctus aigu du myocarde (IAM) par rapport aux populations occidentales. Les facteurs de risque de développement d'IAM récurrents au Kazakhstan n'ont pas encore été étudiés. L'objectif de l'étude était d'analyser les facteurs de risque de développement d'IAM récurrents chez les patients de la population kazakhe. Matériel et méthodes. L'étude a inclus 185 patients atteints d'IAM de moins de 59 ans, inscrits dans les polycliniques de la ville de Nur-Sultan. Les caractéristiques cliniques, les données biochimiques, l'échocardiographie, les interventions chirurgicales cardiaques et les résultats ont été recueillis et analysés. Une régression logistique multivariée a été effectuée pour évaluer l'association entre les facteurs de risque d'IAM récurrent, ajustée pour d'autres variables confusionnelles.

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Assessment of coronary care management and hospital mortality from ST-segment elevation myocardial infarction in the Kazakhstan population: Data from 2012 to 2015

Cited by 3 publications

References 29 publications

Strategies to Reduce the Door-to-Device time in ST-Elevation Myocardial Infarction Patients

Strategies to Reduce the Door-to-Device time in ST-Elevation Myocardial Infarction Patients

Reducing the Wire Crossing Time in Primary Percutaneous Coronary Angioplasty: A Study From a Tier II City in India

"Risk Factors for Recurrent Myocardial Infarction in the Kazakh Population"

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