PMID- 38433430
OWN - NLM
STAT- MEDLINE
DCOM- 20240305
LR  - 20240307
IS  - 0975-4466 (Electronic)
IS  - 0256-4947 (Print)
IS  - 0256-4947 (Linking)
VI  - 44
IP  - 1
DP  - 2024 Jan-Feb
TI  - Retrospective review of non-ST segment elevation acute coronary syndrome 
      presenting to the emergency department of a major tertiary center in Saudi 
      Arabia.
PG  - 1-10
LID - 10.5144/0256-4947.2024.1 [doi]
AB  - BACKGROUND: Acute coronary syndrome (ACS) comprises a spectrum of diseases 
      ranging from unstable angina (UA), non-ST elevation myocardial infarction 
      (non-STEMI) and ST elevation myocardial infarction (STEMI). Treatment of ACS 
      without STEMI (NSTEMI-ACS) can vary, depending on the severity of presentation 
      and multiple other factors. OBJECTIVE: Analyze the NSTEMI-ACS patients in our 
      institution. DESIGN: Retrospective observational. SETTING: A tertiary care 
      institution with accredited chest pain center. PATIENTS AND METHODS: The travel 
      time from ED booking to the final disposition for patients presenting with chest 
      pain was retrieved over a period of 6 months. The duration of each phase of 
      management was measured with a view to identify the factors that influence their 
      management and time from the ED to their final destination. The data was analyzed 
      using descriptive statistics. MAIN OUTCOME MEASURES: Travel time from ED to final 
      destination. SAMPLE SIZE: 300 patients. RESULTS: The majority of patients were 
      males (64%) between 61 and 80 years of age (45%). The median disposition time 
      (from ED booking to admission order by the cardiology team) was 5 hours and 19 
      minutes. Cardiology admissions took 10 hours and 20 minutes from ED booking to 
      the inpatient bed. UA was diagnosed in 153 (51%) patients and non-STEMI in 52 
      (17%). Coronary catheterization was required in 79 (26%) patients, 24 (8%) had 
      coronary artery bypass grafting (CABG) and 8 (3%) had both catheterization and 
      CABG. CONCLUSION: The time from ED booking to final destination for NSTEMI-ACS 
      patients is delayed due to multiple factors, which caused significant delays in 
      overall management. Additional interventional steps can help improve the travel 
      times, diagnosis, management and disposition of these patients. LIMITATIONS: 
      Single center study done in a tertiary care center so the results from this study 
      may not be extrapolated to other centers.
FAU - Qureshi, Muhammad Nauman
AU  - Qureshi MN
AUID- ORCID: 0000-0001-8370-5150
AD  - From the Department of Emergency Medicine, King Faisal Specialist Hospital and 
      Research Centre, Riyadh, Saudi Arabia.
FAU - Ahmed, Eman Nayaz
AU  - Ahmed EN
AD  - From the College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
FAU - Ahmed, Khaled Abdulrahman
AU  - Ahmed KA
AD  - From the College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
FAU - Bashtawi, Eyad
AU  - Bashtawi E
AD  - From the Department of Emergency Medicine, King Faisal Specialist Hospital and 
      Research Centre, Riyadh, Saudi Arabia.
LA  - eng
PT  - Journal Article
DEP - 20240201
PL  - Saudi Arabia
TA  - Ann Saudi Med
JT  - Annals of Saudi medicine
JID - 8507355
SB  - IM
MH  - Male
MH  - Humans
MH  - Female
MH  - *Acute Coronary Syndrome/diagnosis/therapy
MH  - Saudi Arabia
MH  - Retrospective Studies
MH  - *Non-ST Elevated Myocardial Infarction/diagnosis/therapy
MH  - *ST Elevation Myocardial Infarction/diagnosis/therapy
MH  - Emergency Service, Hospital
PMC - PMC10910079
COIS- CONFLICT OF INTEREST: None.
EDAT- 2024/03/04 06:45
MHDA- 2024/03/05 06:46
PMCR- 2024/01/01
CRDT- 2024/03/04 01:13
PHST- 2024/03/05 06:46 [medline]
PHST- 2024/03/04 06:45 [pubmed]
PHST- 2024/03/04 01:13 [entrez]
PHST- 2024/01/01 00:00 [pmc-release]
AID - 0256-4947.2024.1 [pii]
AID - 10.5144/0256-4947.2024.1 [doi]
PST - ppublish
SO  - Ann Saudi Med. 2024 Jan-Feb;44(1):1-10. doi: 10.5144/0256-4947.2024.1. Epub 2024 
      Feb 1.