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Introduction Acute coronary syndrome with ST elevation represents the most severe form of coronary disease. Its management is based on the urgent unblocking the occluded artery. Unfortunately, about 30% of patients do not receive reperfusion strategy, because of a delay consultation. Objective To study the characteristics of patients admitted for MI after 12 H beyond the pain, and the support arrangements for this group of patients. Methods Single-center study conducted on 217 patients hospitalized for AMI between H12 and J5 of pain, during the period between July 2013 and July 2015. Results 217 patients were collected. The average age is 63.07±12.09 years, with male predominance (sex ratio 2.2). 84% of patients admitted through the emergency department. 37.7% of patients live more than 100 km from the hospital. 36% of patients were admitted between H12 and H24. Age is the most frequent cardiovascular risk factor. 18% of our patients are older than 75 years. The Factors associated with delays consultation are age, the distance over 100 km from the hospital, the atypical nature of pain and the admission from the emergencies department. 3/4 of patients have LV dysfunction. More than half of patients is multi-truncal. The LAD is responsible for the MI in 64,5% of cases. During the hospital period, 10% of patients presented heart failure and 6% have an arrhythmia or conduction disorder. The hospital mortality was 6.95%. The patient output order contains aspirin in 98.5% of patients, clopidogrel in 93% of cases and a statin in 98.5% of cases. ACE inhibitors or AIIRAs is prescribed in 78% of cases before the beta- blocker which is prescribed in 64% of patients. Conclusion The late MI seen is a real public health problem in our country. Non-revascularized patients have a poor prognosis and even more so that the necrotic area is extended. Reducing the management delay and the multi-sectoral collaboration are key to improving the prognosis. The author hereby declares no conflict of interest |
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