title: Epidemiological Profile and Quality Indicators in Patients with Acute Coronary Syndrome in Northern Minas Gerais - Minas Telecardio 2 Project.
abstract: BACKGROUND
  Coronary artery disease is the main cause of death in Brazil. In the Brazilian public health system, the in-hospital mortality associated with acute myocardial infarction is high. The Minas Telecardio 2 Project (Projeto Minas Telecardio 2) aims at implementing a myocardial infarction system of care in the Northern Region of Minas Gerais (MG) to decrease hospital morbidity and mortality. The aim of this study was to describe the profile of the patients with acute coronary syndrome (ACS) cared for in the period that preceded the implementation of the system of care.
  
  
  METHODS
  Observational, prospective study of patients with ACS admitted between June 2013 and March 2014 to six emergency departments in Montes Claros, MG, and followed up until hospital discharge.
  
  
  RESULTS
  During the study period, 593 patients were admitted with a diagnosis of ACS (mean age 63 ± 12 years, 67.6% men), including 306 (51.6%) cases of unstable angina, 214 (36.0%) of ST-elevation myocardial infarction (STEMI), and 73 (12.3%) of non-ST-elevation myocardial infarction (NSTEMI). The total STEMI mortality was 21%, and the in-hospital mortality was 17.2%. In the STEMI patients, 46,0% underwent reperfusion therapy, including primary angioplasty in 88 and thrombolysis in six. Overall, aspirin was administered to 95.1% of the patients within 24 hours and to 93.5% at discharge, a P2Y12 inhibitor was administered to 88.7% participants within 24 hours and to 75.1% at discharge. A total of 73.1% patients received heparin within 24 hours.
  
  
  CONCLUSIONS
  We observed a low reperfusion rate in patients with STEMI and limited adherence to the recommended ACS treatment in the Northern Region of MG. These observations enable opportunities to improve health care.
authors.affiliation: Centro de Telessaúde, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Bárbara Campos Abreu
authors.initials: BC
authors.lastname: Marino
authors.affiliation: Centro de Telessaúde, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Milena Soriano
authors.initials: MS
authors.lastname: Marcolino
authors.affiliation: Secretaria de Estado de Saúde, Governo de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Rasível Dos Santos
authors.initials: Rdos S
authors.lastname: Reis Júnior
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Ana Luiza Nunes
authors.initials: AL
authors.lastname: França
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Priscilla Fortes de Oliveira
authors.initials: PF
authors.lastname: Passos
authors.affiliation: Faculdade de Medicina, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Thais Ribeiro
authors.initials: TR
authors.lastname: Lemos
authors.affiliation: Centro de Telessaúde, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Izabella de Oliveira
authors.initials: Ide O
authors.lastname: Antunes
authors.affiliation: Centro de Telessaúde, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Camila Gonçalves
authors.initials: CG
authors.lastname: Ferreira
authors.affiliation: Centro de Telessaúde, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: André Pires
authors.initials: AP
authors.lastname: Antunes
authors.affiliation: Centro de Telessaúde, Hospital das Clínicas, Universidade Federal de Minas Gerais, Minas Gerais, MG, Brazil.
authors.forename: Antonio Luiz Pinho
authors.initials: AL
authors.lastname: Ribeiro
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology*; D000368:Aged; D001241:Aspirin / Q000008:administration & dosage; D001938:Brazil / Q000453:epidemiology; D003710:Demography / Q000706:statistics & numerical data; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data; D017052:Hospital Mortality; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D015425:Myocardial Reperfusion / Q000706:statistics & numerical data; D011446:Prospective Studies; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data*; D013997:Time Factors
chemical_list: D001241:Aspirin