STEMI and NSTEMI: Real-world Study in Mexico (RENASCA)

Borrayo–Sánchez, Gabriela; Rosas‐Peralta, Martín; Ramírez-Árias, Erick; Saturno-Chiu, Guillermo; Estrada-Gallegos, J; Parra-Michel, Rodolfo; Hernández-García, Hugo R; Ayala-López, Ernesto Alonso; Barraza-Félix, Rafael; García-Rincón, Andrés; Adalid-Arellano, Débora; Careaga-Reyna, Guillermo; Lázaro-Castillo, José Luis; Betancourt-Hernández, Lidia E.; Camacho-Casillas, Rocío; Hernández-González, Martha Alicia; Celis-Quintal, Germán; Villegas-González, Beatriz; Hernández-Carrillo, Marco Antonio; Arechiga, Zaria M Benitez; Flores-Morales, Abelardo; Sepúlveda-Vildósola, Ana Carolina

doi:10.1016/j.arcmed.2019.01.005

Cited by 37 publications

(31 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the study had a parallel outcome with the literature, which was more common in men, the average age was lower than the literature due to the fact that the patients older than 70 were excluded from our study. 9 In our study, it was found that LDL-cholesterol levels were higher in STEMI patients and triglyceride levels were higher in UA patients, and were found to be similar to the literature. 10 These results indicate the importance and the expression of the higher cholesterol levels in accordance with the increase of the P-LCR levels.…”

Section: Discussionsupporting

confidence: 90%

Platelet large cell ratio (P-LCR) in predicting acute coronary syndromes before aspirin use

et al. 2020

View full text Add to dashboard Cite

Introduction Chest pain is one of the most common causes of all emergency department applications. 1 In the United States, approximately 8 million patients are admitted to the emergency department because of chest pain each year, from whom only 15%-25% are diagnosed with acute coronary syndrome (ACS). 2 Considering the fact that ACS is fatal but it is largely possible to provide full healing when diagnosed early, rapid and accurate management of patients with chest pain becomes even more important. In ACS, as a multifactorial disease, endogenous and exogenous risk factors are involved in pathogenesis. Platelet activation leads to an increase in platelet consumption in the area of atherosclerotic plaque rupture. This leads to the release of large-sized platelets from the bone marrow during an acute coronary event. 3 Large platelets are relatively younger and contain more intracellular granules, meaning that platelets have more thrombogenic potential. 4 Hemogram is an easy and inexpensive test that can be performed easily in all health systems, including primary care centers. Platelet large cell ratio (P-LCR) test is one of the test parameters that is routinely calculated and given in the hemogram test, and expressed as the ratio of platelets with platelet volume greater than 12 femtolitres (fL). The ratio of normal P-LCR, i.e. large-volume platelets to all platelets, should be less than 30%. 5 Larger platelets which are reflected by high P-LCR levels indicate higher circulating cholesterol and triglyceride levels in serum. 6 There are many studies in the literature that explore the relationship between platelet parameters in the hemogram and the ACS. Although the mean platelet volume was studied frequently in these studies, the P-LCR test was studied in a small number of the studies. 6,7 In one of these studies, Dehghani et al investigated the relationship between platelet parameters between unstable angina (UA), ST elevation MI (STEMI), and non-ACS chest pain. 8 In this study, a significant correlation between P-LCR value elevations and ACS was

show abstract

Section: Discussionsupporting

confidence: 90%

Platelet large cell ratio (P-LCR) in predicting acute coronary syndromes before aspirin use

et al. 2020

View full text Add to dashboard Cite

show abstract

“…However, with same resources, several improvements are presented, when comparing with older reports from the same center. 19 .…”

Section: Discussionmentioning

confidence: 99%

Quality Evaluation in Delivering Care of Acute Myocardial Infarction in Sancti-spirítus, Cuba

Rodríguez-Ramos

Cairo-Saez²,

Prohias-Martinez

2020

Preprint

View full text Add to dashboard Cite

Background: Prevalence of cardiac conditions is increasing worldwide. Low and middle-income scenario (LMISs), especially in Latin America, don’t scape from this phenomenon. To give a high-quality cardiovascular disease care may be economic challenging for these countries, in every level of attention.Methods: Observational and retrospective study of quality of care evaluation using the European Society of Cardiology (ESC 2017) Quality of Care Working Group’s consensus on quality document, of admitted Acute Myocardial Infarction in a General Hospital in Sancti-Spiritus, Cuba.Results: Between 2017 and 2019, 660 patients with AMI were admitted, most of them (72%), presented with features of ST-elevation myocardial infarction. Thrombolytics were administered to 268 (72.4%) patients, 43 (16%) of them in less than 30 minutes after diagnosis. Double antiplatelet treatment was administered to 98.1% of patients at admission. However, only 163 (34.8%) were enrolled in secondary prevention programs. No information regarding Patient Experience, nor 30-day adjusted mortality, was collected. Secondary prevention was fulfilled around 90%Conclusion: Determination of the quality metrics brought some improvement for the perception of the actual quality of care in this low/middle income scenario. Pre-hospital quality markers need to be improved, before trying to introduce a higher level of treatment.

show abstract

“…Data of the RENASCA, from 177 hospitals in Mexico during March 1, 2014 to December 2017, shows that 71.39% of patients, after implantation of ''Infarction Code'', received reperfusion of any kind, 40.1% with brinolytic therapy and 31.3% with Primary PCI. Commonly used drugs couldn't reach 90% of administration, and most of them were reduced during in-hospital stay 19 .…”

Section: Discussionmentioning

confidence: 99%

Quality evaluation in delivering care of Acute Myocardial Infarction in Sancti-Spirítus, Cuba.

Rodríguez-Ramos¹,

Cairo-Saez²,

Prohias-Martinez

2020

Preprint

View full text Add to dashboard Cite

Aim: This study assesses the quality of care for patients admitted with diagnosis of acute myocardial infarction (AMI) in a secondary general hospital located in Sancti-Spiritus, Cuba, in a low/middle income scenario (LMIS), using the 2017 European Society of Cardiology (ESC) Quality of Care Working Group’s guideline.Methods: Observational retrospective of admitted AMI in Sancti-Spiritus Camilo Cienfuegos General Hospital. An implemented electronic registry was used for data collection. Each patient was considered for eligibility for each of the eight domains of quality. A set of quality measures was derived from ESC guidelines. Organizational information was assessed by administrative review and interview.Results: Between 2017 and 2019, 660 patients with AMI were admitted to Camilo Cienfuegos General Hospital, most of them (72%), presented with features of ST-elevation myocardial infarction (STEMI). Thrombolytic were administered to 268 (72.4%) patients, 43 (16%) of them in less than 30 minutes of diagnosis. Dual Antiplatelet Therapy was administered to 98.1% of patients on admission. However, only 163 (34.8%) were enrolled in secondary prevention programs. No information regarding Patient Experience, nor 30-day adjusted mortality, was collected. Secondary prevention was accomplished, around 90%.Conclusion: Determination of quality metrics brought certain improvement on perception of the quality of care in this setting. Despite absence of coronary intervention, there is a chance to modify some performance measures, which are not directly related with this doubtful situation.

show abstract

STEMI and NSTEMI: Real-world Study in Mexico (RENASCA)

Cited by 37 publications

References 25 publications

Platelet large cell ratio (P-LCR) in predicting acute coronary syndromes before aspirin use

Platelet large cell ratio (P-LCR) in predicting acute coronary syndromes before aspirin use

Quality Evaluation in Delivering Care of Acute Myocardial Infarction in Sancti-spirítus, Cuba

Quality evaluation in delivering care of Acute Myocardial Infarction in Sancti-Spirítus, Cuba.

Contact Info

Product

Resources

About