Provision of medical care to patients with acute coronary syndrome in the Primorye Territory

Abstract

An assessment of the quality of care for patients with acute coronary syndrome (ACS) in the territory of Primorsky territory and the analysis of risk factors for acute vascular disasters were carried out. The system of routing of persons with ACS to primary vascular departments and regional vascular center were analyzed. In patients with ACS with ST segment elevation, the electrocardiogram used primary percutaneous coronary intervention or pharmaco-invasive therapy. In determining the tactics of managing patients without ST-segment elevation, stratification of the risk of adverse outcome was used, on the basis of which the delayed invasive approach was recognized as the primary strategy in the first 24-72 hours after the initiation of ACS. Among the risk factors for cardiovascular disasters, hypertension (82 %), dyslipidemia (68 %), smoking (38 %), obesity (33 %) and diabetes mellitus (22 %) were more common. The authors conclude that medical care for ACS in Primorsky territory is in accordance with the recommendations of the Ministry of Health of the Russian Federation, in more than 50 % of cases of ACS with the elevation of the ST segment, percutaneous revascularization of the myocardium is performed. It is planned to improve routing schemes and continue measures to correct risk factors for cardiovascular disasters.