In the first national Moroccan STEMI registry, management delays were prolonged, with only 49.6% of patients receiving early revascularization and an in-hospital mortality rate of 5.2%.
Observational (n=809)
Yes
The first national Moroccan STEMI registry reveals significant delays in management and low rates of early revascularization compared to European standards, highlighting the need for improved emergency medical services and primary PCI access.
BACKGROUND: MR-MI is the first national Moroccan ST-elevation myocardial infarction (STEMI) registry. Its objectives are to assess patient management modalities and highlight the clinical and therapeutic characteristics of this pathology in all cardiology centres on a national scale. METHODS: Adult patients presenting with STEMI within 5 days of symptoms onset were enrolled over a period of 18 weeks from April to August 2018. 57 cardiology centres distributed in 22 cities in Morocco participated in the study, including 5 university hospitals, representing 70% of Moroccan centres managing STEMI patients. A case report form was sent to the investigators in both electronic and paper forms. Sociodemographic, clinical, management, revascularization, and follow-up data were collected. RESULTS: A total of 809 patients were recruited. The population was mostly male (74.8%) with an average age of 62.6 ± 11.6 years. The most common risk factors were smoking (38.3%) arterial hypertension (30.7%), and diabetes (28%). 30% of patients were admitted within the first 6 h of symptoms onset and early revascularization was performed on 49.6%. Mortality rate was 5.2% in-hospital and 3.2% at the one-month follow-up. CONCLUSION: MR-MI is the first Moroccan STEMI registry on a national scale. Relevant management delays are much longer than other countries, and less than 50% of the patients that present on time benefit from early revascularization. Efforts remain to be done on the optimal diagnosis and treatment of STEMI.
Soufiani et al. (Thu,) conducted a observational in ST-elevation myocardial infarction (STEMI) (n=809). Standard of care (Registry) was evaluated on In-hospital mortality. In the first national Moroccan STEMI registry, management delays were prolonged, with only 49.6% of patients receiving early revascularization and an in-hospital mortality rate of 5.2%.