title: [Treatment of acute coronary syndrome in a small volume center: "survival rate in hospital and at 2 years of follow up"].
abstract: We report our experience of the treatment of the coronary syndrome ST+ in a small volume center.
  
  
  METHODS
  For a period of 1 year (September 2004 to September 2005), 110 patients were treated by emergency coronarography at the hospital in Vichy (France). These patients were followed up for a period of 2 years.
  
  
  RESULTS
  This population was relatively elderly: 43.6% of the patients were above 75 years of age. One hundred patients (91%) were treated by emergency angioplasty with a success rate of 88%. The average waiting time for treatment in the coronarography ward is 55 minutes and 35 seconds. Mortality in hospital is 6.36% for the totally of the population. It should be noted that 10.9% of these patients were admitted in a state of cardiogenic shock (12 patients), 3 of whom (25%) have died. 3 of these received a CPIA. At the end of an average follow-up of 21.44 months the survival rate is 83.6%, including and incident-free survival rate of 61.8%.
  
  
  CONCLUSIONS
  These results, comparable with what has been published in the literature, confirm the effectiveness of emergency coronary angioplasty as a method of revascularization even in a small volume center, in respect both of the survival rate in hospital and also of incident-free survival at 2 years.
authors.affiliation: Pôle de médecine interne, division de cardiologie et structure d'urgence, centre hospitalier de Vichy, 03200 Vichy, France. sylvie.framont@ch-vichy.fr
authors.forename: N
authors.initials: N
authors.lastname: Ferrier
authors.forename: X
authors.initials: X
authors.lastname: Marcaggi
authors.forename: G
authors.initials: G
authors.lastname: Bitar
authors.forename: K
authors.initials: K
authors.lastname: Missaoui
authors.forename: G
authors.initials: G
authors.lastname: Amat
mesh_terms: D054058:Acute Coronary Syndrome / Q000401:mortality / Q000628:therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty; D002423:Cause of Death; D017023:Coronary Angiography; D004636:Emergency Service, Hospital; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning; D012770:Shock, Cardiogenic / Q000401:mortality / Q000628:therapy; D015996:Survival Rate; D016896:Treatment Outcome
chemical_list: D005343:Fibrinolytic Agents