Presentation and Revascularization Patterns of Patients Admitted for Acute Coronary Syndromes in France Between 2004 and 2008 (from the National Observational Study of Diagnostic and Interventional Cardiac Catheterization [ONACI])
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- 作者：Maria Pia Donataccio ; Etienne Puymirat ; Corrado Vassanelli ; Didier Blanchard ; Herv茅 le Breton ; Marie-C茅cile Perier ; Martine Gilard ; Thierry Lef猫vre ; Paul Barragan ; Genevi猫ve Mulak ; Nicolas Danchin ; Christian Spaulding ; Xavier Jouven
- 刊名：The American Journal of Cardiology
- 出版年：15 January, 2014
- 年：2014
- 卷：113
- 期：2
- 页码：243-248
- 全文大小：424 K
文摘
Patients with acute coronary syndrome (ACS) comprise a heterogeneous group. Despite clear guidelines, the management of ACS in clinical practice is variable. We aimed to evaluate clinical characteristics and myocardial revascularization patterns of patients presenting with ACS from a large French nationwide registry. The National Observational Study of Diagnostic and Interventional Cardiac Catheterization is a multicenter registry including all interventional cardiology procedures performed since 2004. Patient demographics and co-morbidities, invasive parameters, treatment options, and procedural techniques were prospectively collected. The present study is focused on data collected between 2004 and 2008. Patients were recruited in 99 hospitals (55% in private clinics, 45% in public institutions). Over a 5-year period, 64,932 patients with ACS were included (mean age 65.7 卤 13.3; 73% men, 31% ST-elevation myocardial infarction [STEMI]). Patients presenting with unstable angina pectoris and non-ST-elevation myocardial infarction weresimilar with regards to clinical presentation and coronary artery disease (CAD) extension. Overall, these patients were older, had a higher cardiovascular risk profile, and had more severe CAD compared with STEMI patients. In-hospital mortality during the聽first 24聽hours was higher in STEMI patients. Patient's characteristics and CAD were highly dependent on the type of ACS. Patients with unstable angina/non-STEMI were older聽and聽had a more severe CAD. In-hospital complications were higher in STEMI patients.