Prise en charge de l’infarctus du myocarde en Tunisie : résultats préliminaires du registre FAST-MI Tunisie de la Société tunisienne de cardiologie et de chirurgie cardiovasculaire

Addad, Faouzi; Jeridi, Gouider; Boughzéla, Essia; Kamoun, S.; Boujenah, R; Haouala, Habib; Gamra, Habib; Maatouk, Faouzi; Khalfallah, A; Kachboura, Salem; Baccar, H.; Halima, N. Ben; Guesmi, Ali; Sayahi, Khaled; Sdiri, Wissem; Neji, Ali; Bouakez, A; Battikh, K; Chettaoui, Rafik; Mourali, S.; investigators, au nom des Fast-Mi Tunisia

doi:10.1016/j.ancard.2015.09.064

Cited by 6 publications

(2 citation statements)

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“…illustrates the geographical distribution of the participating centers. The preliminary results of patients enrolled during the first three months of the study period were previously reported [7].…”

Section: Methodsmentioning

confidence: 99%

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Management of patients with acute ST-elevation myocardial infarction: Results of the FAST-MI Tunisia Registry

et al. 2019

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Background The FAST-MI Tunisia registry was set up by the Tunisian Society of Cardiology and Cardiovascular Surgery to assess the demographic and clinical characteristics, management and hospital outcome of patients with ST-elevation myocardial infarction (STEMI). Methods Data for 459 consecutive patients (mean age 60.8 years; 88.5% male) with STEMI, treated in 16 public hospitals (representing 72.2% of public hospitals in Tunisia treating STEMI patients), were collected prospectively.The most common risk factors were smoking (63.6%), hypertension (39.7%), diabetes (32%) and dyslipidaemia (18.2%). Results Among the 459 patients, 61.8% received reperfusion therapy: 30% with primary percutaneous coronary intervention (PPCI) and 31.8% with intravenous fibrinolysis (IF) (28.6% with pre-hospital thrombolysis). The median time from symptom onset to thrombolysis was 185 min and to PPCI was 358 min. In-hospital mortality was 5.3%. Compared with those managed at regional hospitals, patients managed at interventional university hospitals ( n = 357) were more likely to receive reperfusion therapy (52.9% vs. 34.1%; p<0.001), with less IF (28.6% vs. 43.1%; p = 0.002) but more PPCI (37.8% vs. 3.9%; p<0.0001). However, in-hospital mortality in the two types of hospitals was similar (5.3% vs. 5.1%; p = 0.866). Conclusions Data from the FAST-MI Tunisia registry show that a pharmaco-invasive strategy of management for STEMI should be promoted in non-interventional regional hospitals.

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Section: Methodsmentioning

confidence: 99%

“…ECG interpretation was performed by the enrolling physician in each participating center. Data collection was performed via an electronic case record form, identical to that used in the FAST-MI French study [7].…”

Section: Methodsmentioning

confidence: 99%