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Type:	Artigo de Periódico
Title:	Epidemiological profile and quality indicators in patients with acute coronary syndrome in northern minas gerais - minas telecardio 2 project
Authors:	Bárbara Campos Abreumarino Antonio Luiz Pinho Ribeiro Milena Soriano Marcolino Rasível Dos Santos Reis Júnior Ana Luiza Nunes França Priscilla Fortes de Oliveira Passos Thais Ribeiro Lemos Izabella de Oliveira Antunes Camila Gonçalves Ferreira André Pires Antunes
Abstract:	Background: Coronary artery disease is the main cause of death in Brazil. In the Brazilian public health system, the in‑hospital mortality associated with acute myocardial infarction is high. The Minas Telecardio 2 Project (Projeto Minas Telecardio 2) aims at implementing a myocardial infarction system of care in the Northern Region of Minas Gerais (MG) to decrease hospital morbidity and mortality. The aim of this study was to describe the profile of the patients with acute coronary syndrome (ACS) cared for in the period that preceded the implementation of the system of care.Methods: Observational, prospective study of patients with ACS admitted between June 2013 and March 2014 to six emergency departments in Montes Claros, MG, and followed up until hospital discharge.Results: During the study period, 593 patients were admitted with a diagnosis of ACS (mean age 63 ± 12 years, 67.6% men), including 306 (51.6%) cases of unstable angina, 214 (36.0%) of ST‑elevation myocardial infarction (STEMI), and 73 (12.3%) of non‑ST‑elevation myocardial infarction (NSTEMI). The total STEMI mortality was 21%, and the in‑hospital mortality was 17.2%. In the STEMI patients, 46,0% underwent reperfusion therapy, including primary angioplasty in 88 and thrombolysis in six. Overall, aspirin was administered to 95.1% of the patients within 24 hours and to 93.5% at discharge, a P2Y12 inhibitor was administered to 88.7% participants within 24 hours and to 75.1% at discharge. A total of 73.1% patients received heparin within 24 hours.Conclusion: We observed a low reperfusion rate in patients with STEMI and limited adherence to the recommended ACS treatment in the Nor
Subject:	Acute Coronary Syndrome Health Profile Quality Indicators, Health Care Telemedicine
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	MED - DEPARTAMENTO DE CLÍNICA MÉDICA
Rights:	Acesso Aberto
metadata.dc.identifier.doi:	10.5935/abc.20160095
URI:	http://hdl.handle.net/1843/63078
Issue Date:	2016
metadata.dc.url.externa:	https://doi.org/10.5935/abc.20160095
metadata.dc.relation.ispartof:	Arquivos Brasileiros de Cardiologia
Appears in Collections:	Artigo de Periódico

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