KẾT QUẢ ĐIỀU TRỊ BỆNH NHÂN HỘI CHỨNG VÀNH CẤP TẠI BỆNH VIỆN ĐA KHOA TỈNH TRÀ VINH

Abstract

Objectives: The study aims to describe characteristics and the rate of treatment outcomes for in-hospital patients with ACS at Tra Vinh hospital. Materials and methods: A cross-sectional study is carried out from March to September of 2020 on 121 patients diagnosed with ACS at Tra Vinh General Hospital. Results: 31.4% of patients with ACS were transferred to other hospitals and 68.6% (83 patients) of patients were treated at Travinh General hospital in different departments. Among a cohort of 83 patients, 11 died (13.5%) and 48 had complications (57.8%). Considering the complication rates of the study group, the mortality rate was 9.1%; cardiogenic shock 11.6%; heart failure 20.7%; and arrhythmia 9.9%. There were 88% of patients received conservative treatment, while only 4.8% received fibrinolysis therapy and 4.8% received stents and continued being monitored treatment at Travinh General Hospital.  78,3% of patients with ACS used dual antiplatelet therapy while 19,3%used monotherapy antiplatelet agents. The rate of patients using dual antiplatelet drugs when discharged from hospital accounts for a high rate of nearly 70%. Conclusion: The results of the study showed that 31.4% of patients were transferred to other hospitals for cardiac interventions, while out of 83 patients treated at the hospital, 11 patients died (13.5%), 48 patients had complications (57.8%). The results have raised an urgent issue for the implementation of early interventional cardiology at the research facility to limit the mortality and complication rates in patients with ACS. In addition, the issue of using the main treatment drugs in acute coronary syndromes should be done according to the recommendations.