Janjani Parisa, Motevaseli Sayeh, Salimi Yahya, Bavandpouri Sousan Mahmoudi, Ziapour Arash, Salehi Nahid, Karami Sahar
Cardiovascular Research Center, Health Research Institute, Imam Ali Hospital Kermanshah University of Medical Sciences Kermanshah Iran.
Student Research Committee, Kermanshah University of Medical Sciences Kermanshah Iran.
Health Sci Rep. 2023 May 5;6(5):e1187. doi: 10.1002/hsr2.1187. eCollection 2023 May.
Low- and middle-income nations account for at least three-quarters of cardiovascular disease deaths worldwide. This study aimed to obtain real knowledge about ST segment elevation myocardial infarction (STEMI) patients and provide the context for developing a principles for care quality improvement.
This cross-sectional study was conducted from July 2018 through December 2019. The study sample consisted of1169 eligible patients based on inclusion criteria. The data were collected using the standard EROP and three specialized, trained questionnaires. The collected data were checked by the quality control officer and analyzed using Stata Version 14.
Patient baseline characteristics showed that body mass index, low-density lipoprotein, high-density lipoprotein, total cholesterol, and triglyceride levels were higher in women. Also, females recorded a considerable history of diabetes mellitus, hypertension, and hypercholesterolemia compared to men. The results also showed that most men were smokers (46.80%). Aspirin (94.27%), statins (91.48%), and clopidogrel (90.68%) were the common medications used at hospital discharge for patients.
The present study suggests that identifying and managing modifiable risk factors can improve cardiovascular disease outcomes. Also, considering the early identification of STEMI patients with new therapies can effectively decrease the rate of cardiovascular disease and its attributed health outcomes.
低收入和中等收入国家的心血管疾病死亡人数至少占全球的四分之三。本研究旨在获取关于ST段抬高型心肌梗死（STEMI）患者的真实情况，并为制定护理质量改进原则提供背景依据。
本横断面研究于2018年7月至2019年12月进行。根据纳入标准，研究样本包括1169名符合条件的患者。数据通过标准的EROP以及三份经过专门培训的问卷进行收集。收集到的数据由质量控制人员进行检查，并使用Stata 14版本进行分析。
患者基线特征显示，女性的体重指数、低密度脂蛋白、高密度脂蛋白、总胆固醇和甘油三酯水平较高。此外，与男性相比，女性患糖尿病、高血压和高胆固醇血症的病史更为显著。结果还显示，大多数男性为吸烟者（46.80%）。阿司匹林（94.27%）、他汀类药物（91.48%）和氯吡格雷（90.68%）是患者出院时常用的药物。
本研究表明，识别和管理可改变的风险因素可改善心血管疾病的预后。此外，考虑采用新疗法早期识别STEMI患者可有效降低心血管疾病的发生率及其相关健康后果。
