НАЦИОНАЛЬНЫЙ РЕГИСТР ПО ОСТРОМУ ИНФАРКТУ МИОКАРДА. ПРЕДВАРИТЕЛЬНЫЕ РЕЗУЛЬТАТЫ АНАЛИЗА БОЛЬНЫХ, ПРОЛЕЧЕННЫХ В УСЛОВИЯХ РСНПМЦК.

This article presents the preliminary results of the National Register of Acute Myocardial Infarction (AMI), which began in 2018. Material and methods of research: To conduct monitoring of patients with AMI and to collect the necessary and complete information, a special questionnaire was developed by the staff of the Department of Prevention of CVD of the RSSPMCC – the «registry card». The presented article describes a preliminary analysis of the database of personal data of 202 patients with AMI treated in the conditions of the RSSPMCC for 2018. Results: MI was more common in men than in women (146 vs. 56, respectively), regardless of the depth of myocardial damage. The age category of 56–65 years was the most critical in terms of the development of AMI, while in men, AMI develops at a younger age than in women (p < 0,001). In the studied sample, AMI with Q was more common than AMI without Q (59,9 % versus 40,1 %, respectively), and mostly in young individuals (the average age of AMI patients with Q was 2,9 years younger than in AMI patients without Q). In a general group, AMI was most often localized on the anterior wall of the left ventricle – 90 (44,6 %) patients; circular AMI was found in the smallest number of cases – 7 (3,5 %) patients. In cases of AMI with Q, the anterior and lateral walls of the left ventricle were most often affected, while in AMI without Q, the posterior and anterior septal walls were affected. Despite the comparability of the incidence of stenotic lesions ≥50 % and more than three risk factors on the TIMI scale, however, with AMI with Q, the number of patients with a high percentage of risk of death was higher than with AMI without Q, although the difference did not reach the confidence level. Conclusion: Preliminary results of the National Register of AMI indicate the need for further collection and analysis of information in order to objectively identify the main risk factors for AMI, assess their impact on the further course of the disease and, possibly, identify predictors of an unfavorable prognosis.