Short and Midterm Outcomes in Patients With Acute Myocardial Infarction: Results of the Nationwide TURKMI Registry
Makaleler > Tam Makale · 2020
Yazarlar: Mustafa Kilickap, Mustafa Kemal Erol, Latife Meral KAYIKÇIOĞLU, İBRAHİM KOCAYİĞİT, Mesut Gitmez, Veysi Can, FEYZULLAH BEŞLİ, Cengiz Sabanoglu, Ismail Ungan, Ahmet Genc, Mesut Karatas, Ihsan Dursun, Gulsum Meral Yilmaz Oztekin, AYTAÇ CANDEMİR, Yunus Celik, Ahmet Yanik, Aylin Hatice Yamac Halac, Ibrahim Faruk Akturk, MURAT SÜNBÜL, Remzi Sarikaya, Hasan Ari, Ahmet Arif Yalcin, HAKAN GÜNEŞ
Angiology, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2020, cilt 72, ss 339-347
Özet
This recent Turkish Myocardial Infarction registry reported that guidelines are largely implemented in patients with acute myocardial infarction (MI) in Turkey. We aimed to obtain up-to-date information for short- and midterm outcomes of acute MI. Fifty centers were selected using probability sampling, and all consecutive patients with acute MI admitted to these centers (between November 1 and 16, 2018) were enrolled. Among 1930 (mean age 62 ± 13 years, 26% female) patients, 1195 (62%) had non-ST segment elevation myocardial infarction (NSTEMI) and 735 (38%) had ST segment elevation myocardial infarction (STEMI). Percutaneous coronary intervention (PCI) was performed in 94.4% of patients with STEMI and 60.2% of those with NSTEMI. Periprocedural mortality occurred in 4 (0.3%) patients. In-hospital mortality was significantly higher in STEMI than in patients with NSTEMI (5.4% vs 2.9%, respectively; P = .006). However, the risk became slightly higher in the NSTEMI group at 1 year. Women with STEMI had a significantly higher in-hospital mortality compared with men (11.2% vs 3.8%; P < .001); this persisted at follow-up. In conclusion, PCI is performed in Turkey with a low risk of complications in patients with acute MI. Compared with a previous registry, in-hospital mortality decreased by 50% within 20 years; however, the risk remains too high for women with STEMI.