Boytsov SA, Shakhnovich RM, Erlikh AD, Tereschenko SN, Kukava NG, Rytova YK, Pevsner DV, Reitblat OM, Konstantinov SL, Kletkina AS, Shirikova GA, Nedbaikin AM, Borisova TV, Makarov SA, Chesnokova LY, Bykov AN, Shilko YV, Nikolaev DS, Istomina TA, Eremin SA, Romakh IV, Platonov DY, Rabinovich RM, Veselova NA, Urvantseva IA, Zalototskaya YI, Kostina GV, Potapova AN, Dubrovina YA, Shedrova YA, Sodnomova LB, Donirova YS, Hkludeeva EA, Khegya DV, Ivanov KI, Stepanova NV, Philippov EV, Moseychuk KA, Devyatova LS, Kolcheva YG, Rachkova SA, Nazarova OA, Menshikova IG, Pogorelova NA, Sanabasova GK, Azarin OG, Sviridova AV, Zyazina VO, Ilyamakova NA, Kuklina YA, Pronin AA, Vajnshtejn IV, Ustyugov SA, Anohina AR, Gindler AI, Shchepinova LV, Grigoreva TV, Melnik II, Sotnikova MI, Kalashnikova MV, Khramtsova NA, Medvedeva NA, Vahrakova MV, Belousov OV, Doronkina OA, Reprinceva NV, Komarov AV, Lebedev SV, and Belskaya EV
Aim To study features of diagnosis and treatment of acute myocardial infarction (AMI) in Russian hospitals, results of the treatment, and early and late outcomes (6 and 12 months after AMI diagnosis); to evaluate the consistence of the treatment with clinical guidelines; and to evaluate patients' compliance with the treatment.Material and methods The program was designed for 3 years, including 24 months for recruitment of patients to the study. The study will include 10, 000 patients hospitalized with a confirmed diagnosis (I21 according to ICD-10) of ST segment elevation acute myocardial infarction (MI) (STEMI) or non-ST segment elevation MI (NSTEMI) based on criteria of the European Society of Cardiology Guidelines on Forth Universal Definition of Myocardial Infarction (2018). The follow-up period was divided into three stages: observation during the stay in the hospital and at 6 and 12 months following inclusion into the registry. The primary endpoint included cardiac death, nonfatal MI during the hospitalization and after one-year follow-up. Secondary endpoints were 6-months and one-year incidence of repeated MI, heart failure, ischemic stroke, clinically significant hemorrhage, unscheduled revascularization after discharge from the hospital, and the proportion of patients who continue on statins, antiplatelet drugs, and drugs of other groups for 6 months and 1 year.Results The inclusion of patients into the registry started in 2020 and will continue for 24 months. By the time of the article publication (June, 2021), more than 2,000 patients will be included.Conclusion REGION-MI (Russian rEGIstry Of acute myocardial iNfarction) is a multicenter, retrospective and prospective observational cohort study that excludes any interference with the clinical practice. Results of the registry will help to analyze a real picture of medical care provided to patients with myocardial infarction and to schedule ways to improve the situation.