Treatment Strategies in ST-segment Elevation Acute Coronary Syndrome in Tierra del Fuego, Argentina. STEACS Registry

pp. 232-236

Abstract

Introduction and Objectives. Due to the particular geographical and population characteristics of Tierra del Fuego province, an ST-segment elevation acute coronary syndrome (STEACS) registry assessing epidemiological, clinical, diagnostic and therapeutic aspects was conducted in patients admitted with this condition to establish optimal treatment strategies.

Methods. This study was a prospective registry in 47 consecutive patients admitted with less than 12-hour STEACS evolution in the four middle and high complexity centers of the province from the beginning of November 2009 to the end of October 2010.

Results. Mean age was 55 ± 10.1 years, and 89.4% were men. The annual incidence of cases was 3.72/10000 inhabitants. Seventeen percent of patients had history of myocardial infarction and 19.2% had undergone coronary angioplasty or  myocardial revascularization surgery. Reperfusion therapy was performed on 85.1% of patients: 57.4% with fibrinolytic agents and 27.7% with primary angioplasty. Median pain to door time was 145 minutes (interquartile range 60-240) and door to reperfusion time was 42.5 minutes (25-240). Mortality was 8.5% and heart failure was present in 19.1% of patients.

Conclusions. A high percentage of patients underwent reperfusion therapy. Delays to treatment occurred in the pre-hospital stage.