BACKGROUND: Evidence based clinical guidelines have provided clinicians with an increasing tool for management of hospitalized patients. However, large differences in the management of patients with acute coronary syndrome observed across the globe. OBJECTIVE: To determine spectrum of severity, practice patterns and half-year outcomes of patients hospitalized with acute coronary syndrome in Ethiopia. METHODS: All charts from patients admitted to the intensive care unit of Tikur Anbessa Specialized Hospital over a six months period in 2011/12 were examined for discharge diagnosis of acute coronary syndrome. Complete data for these patients was collected for analysis. A total of 21 cases with complete data were included for analysis. RESULTS: Among a total of 21 patients, 16 (65.2%) were males. The mean age was 57.1 +/- 13.7 ranging from 33 to 80 years. All those patients had cardiac biomarkers and electrocardiography (ECG), 14 (66.7%) had echocardiography and only 2 (9.6%) patients had coronary angiography. Based on diagnostic result 13 (62%) patients had ST-elevation myocardial infarction (STEMI), 6 (28.6%) had non-ST elevation myocardial elevation (NSTEM) 1 and 2 (9.5%) had unstable angina. All were given anti-platelets and statin but none of them got thrombolytics. Three (14.4%) patients died after two weeks of hospitalization. CONCLUSION: Unavailability of reperfusion therapy with high rate of mortality and less diagnosis of non ST-elevation acute coronary syndrome were seen. Implementation of evidence-based medications and interventions, including reperfusion therapy is needed.
BACKGROUND: Evidence based clinical guidelines have provided clinicians with an increasing tool for management of hospitalized patients. However, large differences in the management of patients with acute coronary syndrome observed across the globe. OBJECTIVE: To determine spectrum of severity, practice patterns and half-year outcomes of patients hospitalized with acute coronary syndrome in Ethiopia. METHODS: All charts from patients admitted to the intensive care unit of Tikur Anbessa Specialized Hospital over a six months period in 2011/12 were examined for discharge diagnosis of acute coronary syndrome. Complete data for these patients was collected for analysis. A total of 21 cases with complete data were included for analysis. RESULTS: Among a total of 21 patients, 16 (65.2%) were males. The mean age was 57.1 +/- 13.7 ranging from 33 to 80 years. All those patients had cardiac biomarkers and electrocardiography (ECG), 14 (66.7%) had echocardiography and only 2 (9.6%) patients had coronary angiography. Based on diagnostic result 13 (62%) patients had ST-elevation myocardial infarction (STEMI), 6 (28.6%) had non-ST elevation myocardial elevation (NSTEM) 1 and 2 (9.5%) had unstable angina. All were given anti-platelets and statin but none of them got thrombolytics. Three (14.4%) patients died after two weeks of hospitalization. CONCLUSION: Unavailability of reperfusion therapy with high rate of mortality and less diagnosis of non ST-elevation acute coronary syndrome were seen. Implementation of evidence-based medications and interventions, including reperfusion therapy is needed.
Authors: Marwah Abdalla; Neal Kovach; Connie Liu; Julie B Damp; Eiman Jahangir; Anthony Hilliard; Rakesh Gopinathannair; Mazen S Abu-Fadel; Mikhael F El Chami; Sameer Gafoor; Rajesh Vedanthan; Monica Sanchez-Shields; Jon C George; Tiffany Priester; Mirvat Alasnag; Colin Barker; Andrew M Freeman Journal: J Am Coll Cardiol Date: 2016-01-04 Impact factor: 24.094
Authors: Simeon Isezuo; Mahmoud Umar Sani; Abdullahi Talle; Adeyemi Johnson; Abiodun-Moshood Adeoye; Mehmet S Ulgen; Amam Mbakwem; Okechukwu Ogah; Emmanuel Edafe; Philip Kolo; Murtala Nagabea; Rasaaq Adebayo; Eze Nwafor; Folasade Daniel; Muiyawa Zagga; Hayatu Umar; Isa Oboirien; Balarabe A Sulaiman; Umar Abdullahi; Muhammad Sani Mijinyawa; Farouk Buba; Akinyemi Aje; Henry Okolie; Muhammad Nazir Shehu; Umar Adamu; Akinsanya Olusegun-Joseph; Ranti Familoni; Nwuriku Chibuzor; Taiwo Olabisi Olunuga; Emmanuel Ejim; Awodu Rasheed Olaide; Dike Ojji; Bushra Sanni; Jane N Ajuluchukwu; Michael O Balogun; Ayodele B Omotoso; Mullasari Ajit; Ayodele O Falase Journal: J Am Heart Assoc Date: 2021-12-22 Impact factor: 6.106