INCIDENCE OF ACUTE MYOCARDIAL INFARCTION IN THE PERIOD OF 2017-2019 AT THE UNIVERSITY CLINIC OF CARDIOLOGY, SKOPJE, NORTH MACEDONIA
Keywords:
acute myocardial infarction, percutaneous coronary intervention, coronary bypass surgeryAbstract
Acute myocardial infarction (AMI) is defined as necrosis of cardiac myocytes with symptoms of acute myocardial ischemia, with an increase and/or decrease in the level of cardiac biomarkers, mainly high sensitivity cardiac troponin and at least one other criterion: symptoms of ischemia, new or significant changes in the ST T segment of the electrocardiogram (ECG), development of pathologic Q waves on the ECG, evidence from imaging techniques, and/or intracoronary thrombus detected at angiography or autopsy. The main purpose of the paper is to present the patients with acute myocardial infarction within three consecutive years, divided according to method of treatment. The data were taken from the University Clinic of Cardiology Skopje, retrogradely, during three consecutive years from 2017 2019. In 2017, out of a total of 767 patients with AMI, 722 patients (94.13%) were stented with percutaneous coronary intervention (PCI), and 12 patients had multivessel disease and were referred for coronary bypass surgery (CABP), while 33 patients were treated with medication. In 2018, 1098 patients were admitted, of which 1054 were stented (95.99%), 12 patients were referred to ACBP, and 32 patients were treated with medical treatment. In 2019, 1082 patients were admitted, of which 1039 patients were stented (96.02%), 18 patients were referred for ACBP and 24 patients were treated medically. Most of the patients were treated with percutaneous coronary interventions with stenting of the culprit lesion, and a smaller part with multivessel disease were referred for ACBP. Those patients who visited the doctor >48 hours from the onset of pain were treated with drug therapy.
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