How the results and pattern of treatment have recently changed in patients with acute myocardial infarction (according to the data of two Saint-Petersburg hospitals)

Cover Page

Cite item

Full Text

Abstract

The results and pattern of therapy were analyzed in 772 patients with acute myocardial infarction (AMI) who were treated at two Saint Petersburg hospitals in 1998 to 2007. A follow-up indicated that drug treatment quality and therapy adherence improved a year after AMI, resulting in a significant reduction in sudden cardiac death rates. At the same time, inadequate primary myocardial reperfusion and myocardial revascularization failed to significantly reduce mortality from chronic heart failure and incidence of myocardial reinfarction. Key words: acute myocardial infarction, sudden cardiac death, myocardial reinfarction, guidelines for the management of myocardial infarction, drug therapy adherence.

About the authors

S. A Bolduyeva

I.I. Mechnikov Saint Petersburg State Medical Academy

Department of Faculty Therapy with a Course of Interventional Cardiology

E. G Bykova

I.I. Mechnikov Saint Petersburg State Medical Academy

Department of Faculty Therapy with a Course of Interventional Cardiology

I. A Leonova

I.I. Mechnikov Saint Petersburg State Medical Academy

Department of Faculty Therapy with a Course of Interventional Cardiology

N. A Trostyanetskaya

I.I. Mechnikov Saint Petersburg State Medical Academy

Department of Faculty Therapy with a Course of Interventional Cardiology

I. V Yarmosh

I.I. Mechnikov Saint Petersburg State Medical Academy

Department of Faculty Therapy with a Course of Interventional Cardiology

N. S Tretyakova

I.I. Mechnikov Saint Petersburg State Medical Academy

Department of Faculty Therapy with a Course of Interventional Cardiology

A. O Nesterko

I.I. Mechnikov Saint Petersburg State Medical Academy

Department of Faculty Therapy with a Course of Interventional Cardiology

References

  1. Диагностика и лечение больных острым инфарктом миокарда с подъемом сегмента ST на ЭКГ. Кардиоваскул. тер. и профилак. 2007; 6 (8), Прил. 1.
  2. Лечение острого коронарного синдрома без стойкого подъема сегмента ST на ЭКГ. Кардиоваскул. тер. и профилак. 2006; 8 (5), Прил. 1.
  3. 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. Eur Heart J 2008; 29: 2909–45.
  4. Focused Updates: ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction (Updating the 2004 Guideline and 2007 Focused Update) and ACC/AHA/SCAI Guidelines on Percutaneous Coronary Intervention (Updating the 2005 Guideline and 2007 Focused Update): A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2009; 54: 2205–41.
  5. Gislason G.H., Rasmussen J.N., Abildstrøm S.Z. et al. Long - term compliance with beta - blockers, angiotensin - converting enzyme inhibitors, and statins after acute myocardial infarction. Eur Heart J 2006; 27 (10): 1153–8.
  6. Shah N.D., Dunlay S.M., Ting H.H. et al. Long - term medication adherence after myocardial infarction: experience of a community. Am J Med 2009; 122 (10): 961.
  7. Lee H.Y., Cooke C.E., Robertson T.A. Use of secondary prevention drug therapy in patients with acute coronary syndrome after hospital discharge. J Manag Care Pharm 2008; 14 (3): 271–80.
  8. Fox K.A.A., Goodman S.G., Klеin W еt al. Avеzum for thе GRACЕ Invеstigators. Managеmеnt of aсutе сoronary syndromes. Variations in praсtiсе and outcome. Findings from thе Global Rеgistry of Aсutе Coronary Еvеnts (GRACЕ). Еur Hеar J 2002; 23: 1177–89.
  9. Hasdai D, Bеhar S, Wallеntin L еt al. A prospесtivе Survеy of thе сharaсtеristiсs, trеatmеnts and outсomеs of patiеnts with aсutе сoronary syndromеs in Еuropе and thе Меditеrranеan basin. Thе Еuro Hеart Survеy of Aсutе Coronary Syndromеs (Еuro Hеart Survеy ACS). Еur Hеart J 2002; 23: 1190–201.
  10. Эрлих А.Д., Грацианский Н.А. и участники регистра РЕКОРД. Независимый регистр острых коронарных синдромов РЕКОРД. Характеристика больных и лечение до выписки из стационара. Атеротромбоз. 2009; 1 (2): 105–19.
  11. Бойцов С.А., Довгалевский П.Я., Гриднев В.И. и др. Сравнительный анализ данных Российского и зарубежных регистров острого коронарного синдрома. www.cardioweb.ru/articles

Copyright (c) 2010 Eco-Vector

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies