EARLY OUTCOMES IN PATIENTS WITH SUSPECTED ACUTE CORONARY SYNDROME WITHOUT PERSISTENT ST ELEVATION, TRANSPORTED TO A VASCULAR CENTER BY AMBULANCE
https://doi.org/10.29001/2073-8552-2018-33-4-143-147
Abstract
The aim was to study early outcomes in patients with suspected acute coronary syndrome without ST elevation who were transported by emergency to the vascular center.
Material and Methods. We studied medical records from 396 patients with suspected acute coronary syndrome without ST elevation. A telephone survey of patients or their relatives was conducted within two months after the emergency call.
Results. In-hospital diagnosis of acute coronary syndrome was confirmed only in 30.6% of patients with suspected acute coronary syndrome without ST elevation admitted to the vascular center. Cardiologists in the vascular center were ruling out diagnosis of acute coronary syndrome without ST elevation based on data of clinical examination and electrocardiography. During the following two months, 6.4% of the patients with ruled out diagnosis of acute coronary syndrome called emergency again; 2% of the patients were admitted with acute coronary syndrome to the vascular center; and 2.4% of the patients died at home.
Conclusion. In real clinical practice, the assessment of myocardial necrosis biomarkers has been used not enough in cases of suspected acute coronary syndrome without ST elevation.
About the Authors
A. A. Kharitonov
Krasnoyarsk State Medical University n. a. Professor V. F. Vojno-Yasenetsky,
Krasnoyarsk Ambulance Station
Russian Federation
Russian Federation
Assistant Professor at the Department of Healthcare Mobilization Training, Disaster Medicine, and Ambulance Service with Postgraduate Education Course, Physician Member of the Ambulance Team
1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation
2K, Metallurgov ave., Krasnoyarsk, 660131, Russian Federation
O. A. Shtegman
Krasnoyarsk State Medical University n. a. Professor V. F. Vojno-Yasenetsky
Russian Federation
Russian Federation
Dr. Sci. (Med.), Associate Professor, Head of the Department of Healthcare Mobilization Training, Disaster Medicine, and Ambulance Service with Postgraduate Education Course
1, Partizana Zheleznyaka str., Krasnoyarsk, 660022, Russian Federation
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Review
For citations:
Kharitonov A.A., Shtegman O.A. EARLY OUTCOMES IN PATIENTS WITH SUSPECTED ACUTE CORONARY SYNDROME WITHOUT PERSISTENT ST ELEVATION, TRANSPORTED TO A VASCULAR CENTER BY AMBULANCE. Siberian Journal of Clinical and Experimental Medicine. 2018;33(4):143-147. (In Russ.) https://doi.org/10.29001/2073-8552-2018-33-4-143-147
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