Prakash Chand Negi1, Rajeev Merwaha2, Deveshwar Panday3, Vivek Chauhan4, Rajesh Guleri5. 1. Professor, Cardiology, IGMC Shimla, HP, India. Electronic address: negiprakash59@gmail.com. 2. Assistant Professor, Cardiology, IGMC Shimla, HP, India. 3. Medical Specialist, Zonal Hospital Solan, HP, India. 4. Assistant Professor, Internal Medicine, RPGMC Tanda, India. 5. State HIMS Programme Officer, HP, India.
Abstract
BACKGROUND: No population representative data on characteristics, treatment, and outcome were available in acute coronary syndrome (ACS) patients. METHODS: The clinical characteristics, treatment, and in-hospital outcome of 5180 ACS patients registered in multicenter ACS Registry across 33 hospitals in the state since January 2012 to December 2014 are reported. ACS was diagnosed using standard criteria. RESULT: 70.8% were men; mean age was 60.9±12.1. NSTEMI was more frequent than STEMI (54.5% vs. 45.5%). 83.3% of the ACS population were from rural area. Pre-hospital delay was long, with a median of 780min. 35.6% of STEMI patients received thrombolytic therapy. Evidence-based treatment was prescribed in more than 80% of ACS patients, and the treatment was similar in men and women across all types of health care centers. In-hospital mortality was 7.6%, and was more frequent in STEMI than in NSTEMI (10.8% vs. 5.0%, p<0.001). INTERPRETATION: Pre-hospital delay was long, and use of reperfusion therapy was significantly lower. The in-hospital death rates are higher.
BACKGROUND: No population representative data on characteristics, treatment, and outcome were available in acute coronary syndrome (ACS) patients. METHODS: The clinical characteristics, treatment, and in-hospital outcome of 5180 ACS patients registered in multicenter ACS Registry across 33 hospitals in the state since January 2012 to December 2014 are reported. ACS was diagnosed using standard criteria. RESULT: 70.8% were men; mean age was 60.9±12.1. NSTEMI was more frequent than STEMI (54.5% vs. 45.5%). 83.3% of the ACS population were from rural area. Pre-hospital delay was long, with a median of 780min. 35.6% of STEMI patients received thrombolytic therapy. Evidence-based treatment was prescribed in more than 80% of ACS patients, and the treatment was similar in men and women across all types of health care centers. In-hospital mortality was 7.6%, and was more frequent in STEMI than in NSTEMI (10.8% vs. 5.0%, p<0.001). INTERPRETATION: Pre-hospital delay was long, and use of reperfusion therapy was significantly lower. The in-hospital death rates are higher.
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