Evolution du traitement de reperfusion de l'infarctus du myocarde avec sus-decalage du segment ST en Suisse de 1997 a 2005. [Temporal trends in treatment of ST segment elevation myocardial infarction in Switzerland from 1997 to 2005]

Details

Serval ID
serval:BIB_CB8BEE6F2A88
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evolution du traitement de reperfusion de l'infarctus du myocarde avec sus-decalage du segment ST en Suisse de 1997 a 2005. [Temporal trends in treatment of ST segment elevation myocardial infarction in Switzerland from 1997 to 2005]
Journal
Revue Médicale Suisse
Author(s)
Fassa  A. A., Urban  P., Radovanovic  D., Duvoisin  N., Gaspoz  J. M., Stauffer  J. C., Erne  P.
ISSN
1660-9379 (Print)
Publication state
Published
Issued date
05/2006
Volume
2
Number
67
Pages
1393-6, 1398
Notes
English Abstract
Journal Article --- Old month value: May 24
Abstract
From 1997 to 2005, 19461 patients admitted for acute coronary syndrome in 68 hospitals in Switzerland were included in the AMIS Plus registry, of whom 11 543 showed ST segment elevation or left bundle branch block on the ECG at admission. During this period, there was an important increase in the proportion of patients treated by primary percutaneous coronary intervention (8% to 74%), and a marked reduction in the use of thrombolysis (47% to 6%) and also in the proportion of patients who did not receive any reperfusion treatment (45% to 20%). Furthermore, there was a decrease in hospital mortality (12% to 7%). Main predictors of hospital mortality were withholding PCI and thrombolysis, advanced age and the presence of cardiogenic shock. Moreover, primary PCI was associated with lower hospital mortality when compared to thrombolysis.
Keywords
Angioplasty, Transluminal, Percutaneous Coronary/statistics & numerical data Electrocardiography Female Hospital Mortality Humans Male Middle Aged Myocardial Infarction/epidemiology/*therapy Myocardial Reperfusion/statistics & numerical data Registries Switzerland/epidemiology Thrombolytic Therapy/statistics & numerical data
Pubmed
Create date
28/01/2008 10:29
Last modification date
20/08/2019 15:46
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