Management of Acute Myocardial Infarction in the Emergency Department of Elbasan Hospital

Background: Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality. Early recognition and evidence-based ED management are critical, particularly in regional hospitals. Aim of the study: To describe clinical management, diagnostic approach, and early outcomes of patients presenting with suspected AMI in the Elbasan Hospital ED. Methods: Retrospective descriptive study using ED registry data from January 2025 to July 27, 2025. Adult patients with symptoms suggestive of acute coronary syndrome were included. A total of 66 patients were analyzed. Data on demographics, symptoms, initial management, transport, and time intervals were anonymized and aggregated. Data Collection: Extracted from ED registry: age, sex, residence, presenting symptoms, preliminary diagnosis, initial management, transport mode, referral, and time intervals. Data were anonymized. Analysis: Descriptive statistics summarized demographics and clinical management. Mean age ± SD was calculated. Frequencies and trends are reported. Results: Mean age: 66.7 ± 13.8 years. Chest pain, hypotension, and syncope/lipidemia were the most common presenting symptoms. All patients received immediate assessment and stabilization; most were treated in Elbasan ED, while a subset was transferred to tertiary centers. During the study period, 66 patients were included. The mean age was 66.7 ± 13.8 years, with both male and female patients represented. The majority (61, 92.4%) lived in urban areas, while 5 patients (7.6%) came from rural areas. Conclusion: Early recognition and standardized ED management of suspected AMI are feasible in a regional hospital. Strengthening pre-hospital coordination, reducing transfer times, and continuous staff training may further improve outcomes.