Epidemiology, reperfusion management, and outcomes of patients with myocardial infarction in Greece: The ILIAKTIS study
John Kanakakis, John Kanakakis, Panagiotis Stafylas, Grigorios Tsigkas, Dimitris Nikas, Αndreas Synetos, Dimitrios Avramidis, Ioannis Tsiafoutis, Anna Dagre, Stergios Tzikas, Giorgos Latsios, Nikos Patsourakos, Ilias Sanidas, Emmanouil Skalidis, Athanasios Pipilis, Panagiotis D. Bamidis, Periklis Davlouros, John Kanakakis, John Kanakakis, M.E. Tselegkidi, Eleni Sertedaki, Ioannis Mamarelis, E. Fraggos, E. Mantzouranis, Charalambos Karvounis, Athanasios Manolis, G. Chatzilymperis, I. Chiotelis, D. Gryllis, Leonidas Poulimenos, Andreas S. Triantafyllis, Dimitrios Alexopoulos, Charalampos Varlamos, Georgios Almpanis, A. Aggeli, Andreas Sakkas, Athanasios Trikas, S. Tsiamis, K. Triantafylloy, D. Mpenia, D Oikonomou, E. Papadopoulou, D. Avramidis, Maria Kousta, E. Moulianitaki, G. Poulianitis, G. Mavrou, George Latsios, A. Synetos, D. Tousoulis, N. Kafkas, Simone Godwin, G. Mertzanos, M. Koytouzis, Ioannis Tsiafoutis, A. Papadopoulos, Andreas Tsoumeleas, I. Barbetseas, I. Sanidas, Alkinoos Athanasiou, Ioannis Paizis, A. Kakkavas, T. Papafanis, Ioannis Mantas, G. Neroutsos, A. Gkoliopoulou, V. Tafrali, George F. Diakakis, K. Grammatikopoulos, Theodoros Sinanis, Athanasios Kartalis, Dimitrios Afendoulis, Petros Voutas, Christoforos Kardamis, Alexandros Doulis, N Kalantzis, K. Vergis, Christos Chasikidis, Gerasimos S. Armatas, Αναστασία Δαμέλου, Maria Ntogka, I. Serafetinidis, K. Zagkas, T. Tselempis, Pantelis Makridis, I. Karantoumanis, E. Karapatsoudi, Kostas Oikonomou, Emmanouil Foukarakis, P Kafarakis, M Pitarokoilis, E. Rogdakis, Stavros Stavrakis, Georgios Koudounis, V. Karampetsos, Nikolaos Lionakis, Charalampos Panotopoulos, D. Svoronos, Ioannis Tsorlalis, Konstantinos Tsatiris
Abstract
OBJECTIVE: Acute myocardial infarction (AMI) is one of the leading causes of death; however, updated data regarding clinical presentation and current management are missing in Greece. This study aimed to prospectively record the demographic and clinical characteristics of a representative sample of patients suffering from AMI, their management, and short-term outcomes. METHODS: June 2020, consecutive adult patients with STEMI or NSTEMI were enrolled in the 50 participating hospitals, appropriately selected to match the geographical and population distribution in the Greek territory. RESULTS: In total, 1862 patients (mean age: 64.2 ± 13.2 yrs.; 77.2% males) with AMI were enrolled. More patients presented with NSTEMI (56.8%) than with STEMI (43.2%). Primary PCI (pPCI) was the preferable treatment option for STEMI patients in PCI-hospitals (76.9% vs. 39.9% for non-PCI, p < .001) and thrombolysis in non-PCI-hospitals (47.3% vs. 17.9% for PCI-hospitals, p < .001). The mean length of hospital stay was 5.6 days. In-hospital mortality was less likely in NSTEMI compared to that in STEMI patients (aOR = 0.30; 95% CI 0.18 to 0.49). Patients initially admitted in non-PCI-hospitals showed increased risk for in-hospital (aOR = 2.29; 95% CI 1.20 to 4.42) and 30-day mortality (aOR = 1.88; 95% CI 1.20 to 2.96). CONCLUSION: This study shows that the proportion of STEMI and NSTEMI patients managed interventionally has significantly increased, resulting in better clinical outcomes compared to previous Greek surveys.