Atrial Fibrillation With Decompensated Heart Failure Complicated With Non-ST Elevation Myocardial Infarction

Shaban, Eman; Shaban, Ahmed; Shokry, Atef; Iftikhar, Haris; Zaki, Hany A

doi:10.7759/cureus.21050

Cited by 2 publications

(2 citation statements)

References 20 publications

(23 reference statements)

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“…There is consensus in the literature that the care ACS patients receive at each management stage defines the short- and long-term outcomes. Moreover, the clinical characteristics with which ACS patients present are partly responsible for the prognosis [ 25 - 27 ]. The current study reported clinical trajectories and the continuum of care for patients with ACS in the UK.…”

Section: Discussionmentioning

confidence: 99%

Exploring Clinical Trajectories and the Continuum of Care for Patients With Acute Coronary Syndrome in the United Kingdom: A Thorough Cross-Sectional Analysis

Zaki,

Bashir,

Mahdy

et al. 2023

Cureus

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The United Kingdom (UK) has a sustainable healthcare system. Nonetheless, the burden of acute coronary syndrome (ACS) is still a significant challenge. A scarcity of literature primarily focuses on the continuum of care for ACS patients in the UK. Moreover, limited research studies highlight the clinical trajectories of ACS patients across the UK. Therefore, the current study was designed to explore clinical trajectories and the continuum of care for patients with ACS in the UK. Secondary data was obtained from the Myocardial Ischaemia National Audit Project (MINAP) database. The latest data available in the MINAP database was used. As our objective was to explore clinical trajectories and the continuum of care for patients, we retrieved data regarding the care received by ACS patients admitted to hospitals across the UK. The data of 85574 ACS patients was retrieved. A large number (n=47035) of patients were estimated to be eligible for the angiogram; however, an angiogram was performed for 87.15% (n=40995) of eligible patients. Angioplasty within 72 hours of admission was required for most (n=26313) ACS patients. Nonetheless, angioplasty within 72 hours of admission was performed for 59.7% (n=15703) of the eligible patients. There was a significant difference (P<0.05) between different regions of the UK and the percentage of patients for whom angioplasty was performed within 72 hours of admission. Primary percutaneous coronary intervention (PCI) was performed for 23923 ACS patients, of which the door-to-balloon interval for 17590 (73.5%) patients was ≤60 minutes while the door-to-balloon interval for 3086 (12.9%) patients was ≤90 minutes. Out of the total 85574 ACS patients, 65959 (77.08%) patients were discharged on appropriate medications, while 19615 (22.92%) were transferred to another hospital or died there. A total of 75361 were eligible to be referred to cardiac rehabilitation settings. Nonetheless, 64518 (85.61%) were referred to cardiac rehabilitation. About 85000 patients were reported in the UK (England, Northern Ireland, Wales). Optimal care was provided to most patients in the UK. However, some patients received sub-optimal care, highlighting the disparity in the healthcare system. There is a need to explore further the factors that might be responsible for the sub-optimal care to the patients.

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Section: Discussionmentioning

confidence: 99%

Exploring Clinical Trajectories and the Continuum of Care for Patients With Acute Coronary Syndrome in the United Kingdom: A Thorough Cross-Sectional Analysis

Zaki,

Bashir,

Mahdy

et al. 2023

Cureus

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“…Timely and accurate diagnoses, swift interventions, and access to critical patient information contribute to higher survival rates and better quality of life for patients facing medical emergencies. [18], [19].…”

Section: B Significance Of Advancements In Emergency Medicinementioning

confidence: 99%

Advancements in Emergency Medicine: Innovations and Challenges in Critical Care

William

2023

Preprint

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Atrial Fibrillation With Decompensated Heart Failure Complicated With Non-ST Elevation Myocardial Infarction

Cited by 2 publications

References 20 publications

Exploring Clinical Trajectories and the Continuum of Care for Patients With Acute Coronary Syndrome in the United Kingdom: A Thorough Cross-Sectional Analysis

Exploring Clinical Trajectories and the Continuum of Care for Patients With Acute Coronary Syndrome in the United Kingdom: A Thorough Cross-Sectional Analysis

Advancements in Emergency Medicine: Innovations and Challenges in Critical Care

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