title: [Management of patients treated for acute ST-elevation myocardial infarction in Tunisia: Preliminary results of FAST-MI Tunisia Registry from Tunisian Society of Cardiology and Cardiovascular Surgery].
abstract: FAST-MI Tunisian registry was initiated by the Tunisian Society of Cardiology and Cardio-vascular Surgery to assess characteristics, management, and hospital outcomes in patients with ST-elevation myocardial infarction (STEMI).
  
  
  METHODS
  We prospectively collected data from 203 consecutive patients (mean age 60.3 years, 79.8 % male) with STEMI who were treated in 15 public hospitals (representing 68.2 % of Tunisian public centres treating STEMI patients) during a 3-month period at the end of 2014. The most common risk factor was tobacco (64.9 %), hypertension (38.6 %), diabetes (36.9 %) and dyslipidemia (24.6 %).
  
  
  RESULTS
  Among these patients, 66 % received reperfusion therapy, 35 % with primary percutaneous coronary interventions (PAMI), 31 % with thrombolysis (28.6 % of them by pre-hospital thrombolysis). The median time from symptom onset to thrombolysis was 185 and 358 min for PAMI, respectively. The in-hospital mortality was 7.0 %. Patients enrolled in interventional centers (n=156) were more likely to receive any reperfusion therapy (19.8 % vs 44.6 %; p<0.001) than at the regional system of care with less thrombolysis (26.9 % vs 44.6 %; p=0.008) and more PAMI (52.8 % vs 8.5 %; p<0.0001). Also the in-hospital mortality was lower (6.4 % vs 9.3 %) but not significant.
  
  
  CONCLUSIONS
  Preliminary results from FAST-MI in Tunisia show that the pharmaco- invasive strategy should be promoted in non-interventional centers.
authors.affiliation: Service de cardiologie, CHU Abderrahmen Mami, Ariana, Tunisie. Electronic address: secretaire.stcccv@gmail.com.
authors.forename: F
authors.initials: F
authors.lastname: Addad
authors.affiliation: CHU Farhat Hached, Sousse, Tunisie.
authors.forename: J
authors.initials: J
authors.lastname: Gouider
authors.affiliation: CHU de Sahloul, Sousse, Tunisie.
authors.forename: E
authors.initials: E
authors.lastname: Boughzela
authors.affiliation: CHU Hédi Chaker, Sfax, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Kamoun
authors.affiliation: CHU Mongi Slim, Marsa, Tunisie.
authors.forename: R
authors.initials: R
authors.lastname: Boujenah
authors.affiliation: Hôpital Militaire Principal d'Instruction de Tunis, Tunis, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Haouala
authors.affiliation: Cardio A CHU Fattouma Bourguiba, Monastir, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Gamra
authors.affiliation: Cardio B CHU Fattouma Bourguiba, Monastir, Tunisie.
authors.forename: F
authors.initials: F
authors.lastname: Maatouk
authors.affiliation: Hôpital de Menzel Bourguiba, Menzel Bourguiba, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Ben Khalfallah
authors.affiliation: Service de cardiologie, CHU Abderrahmen Mami, Ariana, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Kachboura
authors.affiliation: Hôpital Chrales Nicolles, Tunis, Tunisie.
authors.forename: H
authors.initials: H
authors.lastname: Baccar
authors.affiliation: Hôpital régional Ibn El Jazzar, Kairouan, Tunisie.
authors.forename: N
authors.initials: N
authors.lastname: Ben Halima
authors.affiliation: Hôpital régional Mohamed Ben Sassi, Gabes, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Guesmi
authors.affiliation: Hôpital régional M'Hamed Bourguiba, Kef, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Sayahi
authors.affiliation: Hôpital régional Habib Bougatfa, Bizerte, Tunisie.
authors.forename: W
authors.initials: W
authors.lastname: Sdiri
authors.affiliation: Hôpital régional Ben Guerdene, Médenine, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Neji
authors.affiliation: Hôpital régional Jendouba, Jendouba, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Bouakez
authors.affiliation: Clinique de Jerba, Jerba, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Battikh
authors.affiliation: Clinique de Tunis, Tunis, Tunisie.
authors.forename: R
authors.initials: R
authors.lastname: Chettaoui
authors.affiliation: CHU La Rabta, Tunis, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Mourali
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017130:Angioplasty / Q000379:methods / Q000706:statistics & numerical data; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D000925:Anticoagulants / Q000627:therapeutic use*; D002309:Cardiology; D004359:Drug Therapy, Combination; D005260:Female; D006493:Heparin / Q000627:therapeutic use*; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality / Q000628:therapy*; D011446:Prospective Studies; D012042:Registries; D012307:Risk Factors; D012955:Societies, Medical; D016896:Treatment Outcome; D014416:Tunisia / Q000453:epidemiology
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D000925:Anticoagulants; D006493:Heparin
keywords: Infarctus du myocarde; Myocardial infarction; Registre; Registry; Reperfusion