Claudio C. Higa, Heraldo D´Imperio, Patricia Blanco, Adrián Charask, H. C. Arazi, F. Novo, E. Perna, J. Gagliardi
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引用次数: 2
摘要
背景:本研究的目的是比较阿根廷两个登记中心的st段抬高型心肌梗死(STEMI)患者。方法:比较54个中心参与SCAR(2011)登记和ARGEN-IAM-ST(2015)登记的STEMI患者。结果:共分析了676例STEMI患者:222例在SCAR登记，454例在argon - iam - st登记。在年龄和性别上没有显著差异。纤溶药物的使用显著降低，经皮初级冠状动脉介入治疗的使用显著增加。心源性休克发生率降低50%。住院期间死亡率和再梗死发生率无差异。结论:原发性经皮冠状动脉介入治疗的适应症增加，纤溶药物的使用减少。心源性休克在过去5年中显著减少，住院死亡率无显著变化。
Comparison of Two Argentine Registries on Myocardial Infarction: the 2011 SCAR Registry and the 2015 AR GEN -IA M-ST Registry
Background: The aim of this study was to compare patients with ST-segment elevation myocardial infarction (STEMI) included incenters participating of two registries in Argentina.Methods: STEMI patients included in the 54 centers participating in the SCAR (2011) registry and in the ARGEN-IAM-ST (2015)registry were compared.Results: A total of 676 STEMI patients were analyzed: 222 in the SCAR registry and 454 in the ARGEN-IAM-ST registry. There wereno significant differences in age and sex. The use of fibrinolytic agents was significantly lower and the use of primary percutaneouscoronary intervention was significantly increased. The incidence of cardiogenic shock was 50% lower. There were no differences inmortality and reinfarction during hospitalization.Conclusions: The indication of primary percutaneous coronary intervention increased and the use of fibrinolytic agents decreased.Cardiogenic shock decreased significantly in the last 5 years without significant changes in in-hospital mortality.
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