3 research outputs found
Baseline clinical characteristics and patient profile of the TURKMI registry: Results of a nation-wide acute myocardial infarction registry in Turkey
Objective: The TURKMI registry is designed to provide insight into the characteristics, management from symptom onset to hospital discharge, and outcome of patients with acute myocardial infarction (MI) in Turkey. We report the baseline and clinical characteristics of the TURKMI population
Baseline clinical characteristics and patient profile of the TURKMI registry: Results of a nation-wide acute myocardial infarctionregistry in Turkey
Objective: The TURKMI registry is designed to provide insight into the
characteristics, management from symptom onset to hospital discharge,
and outcome of patients with acute myocardial infarction (MI) in Turkey.
We report the baseline and clinical characteristics of the TURKMI
population.
Methods: The TURKMI study is a nation-wide registry that was conducted
in 50 centers capable of percutaneous coronary intervention selected
from each EuroStat NUTS region in Turkey according to population
sampling weight, prioritized by the number of hospitals in each region.
All consecutive patients with acute MI admitted to coronary care units
within 48 hours of symptom onset were prospectively enrolled during a
predefined 2-week period between November 1, 2018 and November 16, 2018.
Results: A total of 1930 consecutive patients (mean age, 62.0 +/- 13.2
years; 26.1\% female) with a diagnosis of acute MI were prospectively
enrolled. More than half of the patients were diagnosed with non-ST
elevation MI (61.9\%), and 38.1\% were diagnosed with ST elevation MI.
Coronary angiography was performed in 93.7\% and, percutaneous coronary
intervention was performed in 73.2\% of the study population.
Fibrinolytic therapy was administered to 13 patients (0.018\%). Aspirin
was prescribed in 99.3\% of the patients, and 94\% were on dual
antiplatelet therapy at the time of discharge. Beta blockers were
prescribed in 85.0\%, anti-lipid drugs in 96.3\%, angiotensin converting
enzyme inhibitors in 58.4\%, and angiotensin receptor blockers in 7.9\%.
Comparison with European countries revealed that TURKMI patients
experienced MI at younger ages compared with patients in France,
Switzerland, and the United Kingdom. The most prevalent risk factors in
the TURKMI population were hypercholesterolemia (60.2\%), hypertension
(49.5\%), smoking (48.8\%), and diabetes (37.9\%).
Conclusion: The nation-wide TURKMI registry revealed that
hypercholesterolemia, hypertension, and smoking were the most prevalent
risk factors. TURKMI patients were younger compared with patients in
European Countries. The TURKMI registry also confirmed that current
treatment guidelines are largely adopted into clinical cardiology
practice in Turkey in terms of antiplatelet, anti-ischemic, and
anti-lipid therapy