Analysis of cases of repeat hi-tech medical care for non-ST-segment elevation acute coronary syndrome

2019 ◽  
Vol 25 (3) ◽  
pp. 63
Author(s):  
V. V. Bazylev ◽  
M. G. Shmatkov ◽  
A. I. Pianzin ◽  
Z. A. Morozov
Keyword(s):  
Acute Coronary Syndrome ◽  
Medical Care ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome ◽  
Analysis Of Cases

scholarly journals DEFECTS OF PROVIDING MEDICAL CARE TO PATIENTS WITH ST SEG-MENT ELEVATION ACUTE CORONARY SYNDROME WHO DID NOT RE-CEIVE REPERFUSION THERAPY

2020 ◽  
Vol 8 (4) ◽  
pp. 531-540
Author(s):  
V.V. Kolosova ◽  
◽  
K.A. Moseichuk ◽  
E.N. Parshikova ◽  
A.A. Pyko ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Medical Care ◽  
Medical Records ◽  
Myocardial Damage ◽  
Medical Personnel ◽  
Reperfusion Therapy ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome

Aim. Assess defects in the provision of medical care to patients with ST segment elevation acute coronary syndrome, who did not receive reperfusion therapy. Materials and Methods. The study included patients with acute coronary syndrome with ST segment elevation who did not receive reperfusion therapy being hospitalized to the primary vascular units. The analysis of medical records of hospitalized patients was carried out. Results. The study included 113 patients who satisfied the inclusion criteria, of which 56.6% were men. The average age was 70.3±2.8 years. The most common complaints of patients were chest pain, shortness of breath, weakness, nausea and cold sweat. Most patients had comorbid pathology: arterial hypertension, chronic heart failure, and stable angina pectoris. The reperfusion card was filled out by medical personnel in 47.8% of cases. In 26.5%, the reason for rejection of reperfusion therapy was not clear from the medical records. A loading dose of antiplatelet drugs was used in 76.1% of cases. Anticoagulant parenteral therapy was carried out in 90.2% of cases. During stay in hospital, markers of myocardial damage were determined only in 75.2% of pa-tients. Noteworthy is the low frequency of implementation of echocardiography in the first 24 hours – 12.4%. Despite the high frequency of administrations of the main groups of medical drugs during hospitalization, on discharge from hospital the number of administrations decreased. On discharge, coronary angiography was recommended to only 20.4% of patients. Conclusion. In patients with acute coronary syndrome with ST segment elevation, who did not undergo reperfusion therapy, defects in the provision of medical care were found that could affect the prognosis. The data obtained require further study and should be taken into account in development of educational programs for cardiologists, emergency medical specialists, and anesthesiologists-resuscitationists.

Baseline CHA 2 DS 2 ‐VASc score and prognosis in octogenarians with non‐ST segment elevation acute coronary syndrome

2021 ◽  
Author(s):  
Pablo Díez‐Villanueva ◽  
Alberto Vera ◽  
Albert Ariza‐Solé ◽  
Francesc Formiga ◽  
Manuel Martínez‐Sellés ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome

Prognostic Impact of Interventional Approach in Non-ST Segment Elevation Acute Coronary Syndrome in Very Elderly Patients

2011 ◽  
Vol 64 (10) ◽  
pp. 853-861 ◽  
Author(s):  
Iñaki Villanueva-Benito ◽  
Itziar Solla-Ruíz ◽  
Emilio Paredes-Galán ◽  
Óscar Díaz-Castro ◽  
Francisco E. Calvo-Iglesias ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Elderly Patients ◽  
Prognostic Impact ◽  
Very Elderly ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
St Segment ◽  
Elevation Acute Coronary Syndrome
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