| Autor: |
Houleymata, Ba, Faten, Yahia, Alassane, Wade, Sirake, Camara, Fatimata, Ba, Aissata, Kane, Ahmed, Ebba |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
La Tunisie medicale. 97(12) |
| ISSN: |
2724-7031 |
| Popis: |
Acute Coronary Syndrome (ACS) is a diagnostic and therapeutic emergency whose management is standardized by multiple learned societies.To describe the quality of the management of the SCA at the National Heart Center (CNC) in Nouakchott, Mauritania.This is a cross-sectional study of patients admitted to SCA at the Nouakchott CNC between July 31 and December 16, 2017.A total of 80 patients, were enrolled in this study (hospital prevalence: 10.6%). Males were predominant (sex ratio: 2.3) and mean age was 62.5±10.6. Only one fourth of patients had health insurance coverage. Medical transportation by ambulance were provided only for 29% of patients. Typical chest pain was the most frequent reason for consultation (83.8% of cases) and the average admission time was 34.83±11.87 hours. Almost two thirds of patients (68%) had an ST segment-elevation myocardial infarction. Of those patients, only 23 were managed within-12 hours of chest pain onset; reperfusion treatment was attempted by primary Percutaneous Coronary Intervention (PCI) in only one case and thrombolysis in 22 (28%) others and was success in 81% of cases. All ACS-patients received antithrombotic drugs as recommended by the local protocol and 55 (69%) patients underwent a coronary angiography that revealed 58.2% mono-truncular, 18.2% bi-truncular and 14.5% tri-truncular lesions, supporting the indication for PCI in 31 patients, Coronary artery bypass graft in 6 patients and medical therapy in the remaining patients. During the hospital course, complications were observed in 22.5% patients with a total mortality of 3.8%.Management of ACS at the Mauritanian CNC could be optimized by the implementation of a pre-hospital care chain based on easy access to first-line facilities, efficient transportation system and early coronary revascularization. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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