Cardiology A Department, Ibn Sina Hospital University Centre, Mohammed V University, Rabat, Morocco.
Cardiology Department, Mohammed V Military Instruction Hospital, Mohammed V University, Rabat, Morocco.
BMC Cardiovasc Disord. 2023 Aug 24;23(1):419. doi: 10.1186/s12872-023-03458-7.
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.
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.
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.
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.
MR-MI 是摩洛哥首个全国性 ST 段抬高型心肌梗死（STEMI）注册研究。其目的是评估患者的管理方式，并在全国范围内突出所有心脏病中心这种疾病的临床和治疗特点。
2018 年 4 月至 8 月，在 18 周的时间内，共纳入 18 周内出现 STEMI 症状的成年患者。摩洛哥 22 个城市的 57 个心脏病中心参与了这项研究，其中包括 5 家大学医院，占管理 STEMI 患者的摩洛哥中心的 70%。研究人员以电子和纸质形式向调查人员发送了病例报告表。收集了社会人口统计学、临床、管理、血运重建和随访数据。
共纳入 809 例患者。该人群主要为男性（74.8%），平均年龄为 62.6±11.6 岁。最常见的危险因素为吸烟（38.3%）、动脉高血压（30.7%）和糖尿病（28%）。30%的患者在症状发作后 6 小时内入院，49.6%的患者进行了早期血运重建。住院期间死亡率为 5.2%，1 个月随访时死亡率为 3.2%。
MR-MI 是摩洛哥首个全国性 STEMI 注册研究。相关管理延迟时间远长于其他国家，不到 50%的及时就诊患者受益于早期血运重建。仍需努力优化 STEMI 的诊断和治疗。
