[Acute myocardial infarction in Morocco: FES-AMI registry data].
BACKGROUND
Acute myocardial infarction is the most dangerous complication of coronary atherothrombosis. There are several disparities in regard to its management around the world. The aim of this study is to analyze the specificities of management of acute myocardial infarction in Morocco.


METHODS
FES-AMI (Fès Acute Myocardial Infarction) is a prospective monocentric registry conducted in cardiology department of Hassan II university hospital in Fès. In this registry, we enrolled patients with acute myocardial infarction who presented within 5 days after symptom onset.


RESULTS
From January 2005 to August 2015, we enrolled 1835 patients. Seventy-five percent of patients were males and mean age was 60 years old. Fifty-one percent of patients were smokers, 27% were hypertensives and 14% were diabetics. Sixty-six percent of patients had more than 2 risk factors. Time from symptom onset to hospital admission was less than six hours for 40% of the patients. Thirty-six percent of patients were admitted more than twelve hours after the onset of chest pain. Only 37% of patients received reperfusion therapy, 31% with in-hospital thrombolysis and 6% with primary angioplasty. In-hospital mortality was 7.6%.


CONCLUSIONS
The patients enrolled in our registry have late presentation of acute myocardial infarction and less rate of reperfusion therapy. Furthermore, the majority of our patients have multiple risk factors and this result underlines the failure of preventive interventions.
Service de cardiologie, CHU Hassan II, Fès, Maroc. Electronic address: akoudadcardio@gmail.com.
H
H
Akoudad
Service de cardiologie, CHU Hassan II, Fès, Maroc.
N
N
El Khorb
Service de cardiologie, CHU Hassan II, Fès, Maroc.
N
N
Sekkali
Service de cardiologie, CHU Hassan II, Fès, Maroc.
A
A
Mechrafi
Service de cardiologie, CHU Hassan II, Fès, Maroc.
N
N
Zakari
Service de cardiologie, CHU Hassan II, Fès, Maroc.
L
L
Ouaha
Service de cardiologie, CHU Hassan II, Fès, Maroc.
I
I
Lahlou
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000706:statistics & numerical data; D015992:Body Mass Index; D048909:Diabetes Complications / Q000453:epidemiology; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000209:etiology / Q000628:therapy*; D015425:Myocardial Reperfusion / Q000706:statistics & numerical data; D011446:Prospective Studies; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects; D016896:Treatment Outcome
D005343:Fibrinolytic Agents
Acute myocardial infarction; Infarctus du myocarde; Management specificities; Maroc; Morocco; Particularités de prise en charge; Registre; Registry