E.N. IVANTSOV, N.R. KHASANOV

Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation 420012

Ivantsov E.N. — student of Therapy Faculty, tel. +7-958-620-44-86, e-mail: zhenia.iva91@gmail.com

Khasanov N.R. — D. Med. Sc., Professor of the Department of Propaedeutics of Internal Diseases, tel. +7-987-290-60-21, e-mail: ybzp@mail.ru

The article presents the results of an analysis of hospital mortality of patients STEMI and conducted PCI, depending on the time elapsed from the first symptoms of the disease till the first medical contact. The findings suggest that the higher in-hospital mortality is observed if the patient asked for medical help more than 4 hours after the onset of symptoms. Significant increased risk of hospital mortality has been observed if the patient waited for medical help for more than 2 hours.

Key words: cardiac infarction, percutaneous coronary intervention, hospital mortality.

REFERENCES

1. Recommendations fordiagnosis and treatment ofpatients with acute myocardialinfarction withST-segment elevationECG. Kardiovaskulyarnaya terapiya i profilaktika, 2007, no. 6 (8), suppl. 1, pp. 415-500 (in Russ.).

2. ESC Guidelines on the management of acute myocardial infarction in patients presenting with persistent st-segment elevation. The Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). European Heart Journal, 2012, vol. 33, issue 20, pp. 2569-2619.

3. Boersma E. Does time matter? A pooled analysis of randomized clinical trials comparing primary percutaneous coronary intervention and in-hospital fibrinolysis in acute myocardial infarction patients. European Heart Journal, 2006, vol. 27, pp. 779-788.

4. Nallamothu B.K., Bates E.R., Wang Y., Bradley E.H., Krumholz H.M. Driving times and distances to hospitals with percutaneous coronary intervention in the United States: implications for prehospital triage of patients with ST-elevation myocardial infarction. Circulation, 2006, vol. 113, pp. 1189-1195.

5. Fox K.A. An international perspective on acute coronary syndrome care: insights from the Global Registry of Acute Coronary Events. American Heart Journal, 2004, vol. 148:Suppl., pp. 40-45.

6. Labinaz M., Swabey T., Watson R., et al. Delivery of primary percutaneous coronary intervention for the management of acute ST segment elevation myocardial infarction: summary of the Cardiac Care Network of Ontario Consensus Report. Canadian Journal of Cardiology, 2006, vol. 22, pp. 243-250.

7. Guidelines on myocardial revascularization. The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal, 2010, vol. 31, issue 20, pp. 2501-2555.

8. Armstrong P., Gershlick A., Goldstein P. et al. Fibrinolysis or primary PCI in ST-Segment elevation myocardial infarction. New England Journal of Medicine, 2013, vol. 68, no. 15, pp. 1379-1387.