[Early invasive strategy in acute coronary syndromes without persistent ST-segment elevation. Baseline characteristics and in-hospital outcome: Zabrze Registry].
Acute coronary syndromes (ACS) without ST elevation (which include unstable angina [UA] and non ST elevation MI [NSTEMI]) are caused by dynamic changes in the atherosclerotic plaque and coronary blood flow. To determine characteristics, in-hospital outcome and management of patients with ACS without ST elevation. The total of 502 patients were enrolled. Inclusion criteria were: rest angina within the last 24 hours, ST-segment deviation (>0,05 mV), T-wave inversion (>0,1 mV) in at least two leads, positive serum cardiac markers. There were 63,3% of patients with Braunwald's IIIB UA and 6,8% with IIIC UA, 29,9% of patients were diagnosed with NSTEMI. All patients were diagnosed invasively with subsequent revascularization (PCI-73,1% or CABG-16,7%) if apprioppriate. 1,6% of patients underwent PCI and elective CABG and 16,7% of patients were treated conservatively. Overall mortality was 2,98%--PCI subgroup (N = 367) 1,36%, CABG subgroup (N = 84) 8,33% and conservative subgroup (N = 43) 6,07%. Non-fatal myocardial infarction (MI) complicated the hospital course in 0,99%, 0,27%, 3,57%, and 2,32% of patients respectively. 1,4%, 0,54%, 6% and 0% of patients respectively had fatal MI. Early invasive strategy in patients with ACS without ST elevation is efficacious method of treatment.
Szyguła-Jurkiewicz
Bozena
B
III Katedra i Oddział Kliniczny Kardiologii SAM w Zabrzu.
Wilczek
Krzysztof
K
Gasior
Mariusz
M
Adamowicz-Czoch
Elzbieta
E
Jarski
Piotr
P
Lekston
Andrzej
A
Szkodziński
Janusz
J
Hudzik
Bartosz
B
Zembala
Marian
M
Poloński
Lech
L
D000368:Aged; D002391:Catchment Area, Health; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000175:diagnosis / Q000453:epidemiology / Q000534:rehabilitation; D004562:Electrocardiography; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D012042:Registries; D012848:Sinoatrial Block / Q000175:diagnosis* / Q000453:epidemiology* / Q000601:surgery