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Archivos de cardiología de México
On-line version ISSN 1665-1731Print version ISSN 1405-9940
Abstract
GONZALEZ, Graciela et al. National Registry of Acute Coronary Syndrome in Paraguay (RENASCA-PY). Arch. Cardiol. Méx. [online]. 2022, vol.92, n.2, pp.174-180. Epub May 02, 2022. ISSN 1665-1731. https://doi.org/10.24875/acm.20000489.
Objective:
To determine the initial management and in-hospital mortality of patients with acute coronary syndrome who attended referral hospitals in Paraguay.
Method:
Observational, multicenter study, in patients over 18 years with a confirmed diagnosis of acute coronary syndrome.
Results:
780 patients were included from May 2015 to February 2016; the mean age was 64.1 ± 12.3 years, 64.1% male. The clinical presentation was acute coronary syndrome with ST elevation in 40.1% and without elevation in 59.9%. In patients with ST elevation there is a high percentage of late attendance, more than 12 h of evolution in 49.8%; those with less than 12 h of evolution underwent reperfusion in 52.2% of the cases, received fibrinolytics in 36.3% of the cases, and primary percutaneous coronary intervention 15.9%. In-hospital mortality for acute coronary syndrome was 10.3%, with ST-segment elevation was 12.8%, and without ST-segment elevation was 8.6%.
Conclusions:
The management of acute coronary syndrome in Paraguay needs a comprehensive approach, which promotes earlier care, and increases the implementation of reperfusion therapies in the health services network, in order to improve the therapeutic response rates and decrease hospital mortality.
Keywords : Acute coronary syndrome; Registry; Reperfusion; Prognosis.