Delay of fibrinolysis in St- elevation myocardial infarction: Results of an investigation conducted in a single center in Sousse Tunisia :Hatem Bouraoui, Besma Trimeche, Samia Ernez Hajri, Abdallah Mahdhaoui, Meriem Ben Romdhane, Gouider Jeridi, Heart Views

ORIGINAL ARTICLE
Year : 2014 | Volume : 15 | Issue : 3 | Page : 65--67

Delay of fibrinolysis in St- elevation myocardial infarction: Results of an investigation conducted in a single center in Sousse Tunisia

Hatem Bouraoui, Besma Trimeche, Samia Ernez Hajri, Abdallah Mahdhaoui, Meriem Ben Romdhane, Gouider Jeridi
Department of Cardiology Farhat Hached Hospital 4000 Sousse, Tunisia

Correspondence Address:
Hatem Bouraoui
Department of cardiology. Farhat Hached Hospital, 4000 Sousse
Tunisia

Background: The aim of our study was to assess the delay of fibrinolysis in ST elevation myocardial infarction (STEMI) in our region and to identify characteristics associated with prolonged delay. Patients and Methods: We analyzed clinical characteristics of a prospective cohort of unselected patients admitted for (STEMI). The study was conducted over three years 2007-2009 and 250 patients were included in a single center without capability of percutaneous coronary intervention. Results: The mean age of our patients was 58±13, 7 years. Ninety percent of our patients consult directly the emergency department and 61, (5%) of them were admitted within first 6 hours of onset of symptoms. Median time to reperfusion was 46 min. Predictor of this long delay to initiate fibrinolysis were inter-department decision OR 6; 95% CI 3,48-10,34, diabetes OR 2,25; 95% CI 1,28-3,96 age >58,4 years OR 1,97; 95% CI 1,19-3,25 and transfer from regional hospital to our center OR 1,78; 95% 1,03-3.07. Conclusion: These results suggest that improvement in organization health care system can shorten delay to fibrinolysis in a center without percutaneous coronary intervention capability.

How to cite this article:
Bouraoui H, Trimeche B, Hajri SE, Mahdhaoui A, Romdhane MB, Jeridi G. Delay of fibrinolysis in St- elevation myocardial infarction: Results of an investigation conducted in a single center in Sousse Tunisia.Heart Views 2014;15:65-67

How to cite this URL:
Bouraoui H, Trimeche B, Hajri SE, Mahdhaoui A, Romdhane MB, Jeridi G. Delay of fibrinolysis in St- elevation myocardial infarction: Results of an investigation conducted in a single center in Sousse Tunisia. Heart Views [serial online] 2014 [cited 2023 Dec 3 ];15:65-67
Available from: https://www.heartviews.org/article.asp?issn=1995-705X;year=2014;volume=15;issue=3;spage=65;epage=67;aulast=Bouraoui;type=0