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Original research
Management of patients with acute ST-segment elevation myocardial infarction in Russian hospitals adheres to international guidelines
  1. Anna V Kontsevaya1,
  2. Katie Bates2,3,
  3. Henrik Schirmer4,
  4. Natalia Bobrova5,
  5. David Leon5 and
  6. Martin McKee3
  1. 1Department of Non-Communicable Disease Epidemiology, National Research Centre for Preventive Medicine, Moscow, Russian Federation
  2. 2Department of Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Innsbruck, Austria
  3. 3Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom
  4. 4Division of Medicine and Laboratory Sciences, Institute of Clinical Medicine, The Arctic University of Norway UiT, Tromsø, Troms, Norway
  5. 5Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
  1. Correspondence to Dr Katie Bates, Department of Medical Statistics, Informatics and Health Economics, Medical University Innsbruck, Innsbruck, Austria; katie.bates{at}


Objective Russia has one of the highest cardiovascular mortality rates. Modernisation of the Russian health system has been accompanied by a substantial increase in uptake of percutaneous coronary intervention (PCI), which substantially reduces the risk of mortality in patients with acute ST-elevation myocardial infarction (STEMI). This paper aims to describe contemporary Hospital treatment of acute STEMI among patients in a range of hospitals in the Russian Federation.

Methods This study used data from a prospective observational cohort of 1128 suspected patients with myocardial infarction recruited in both PCI and non-PCI hospitals across 13 regions and multiple levels of the health system in Russia. The primary objective was to examine the use of reperfusion strategies in patients with STEMI.

Results Among patients reaching PCI centres within 12 hours of symptom onset, the vast majority received angiography and PCI, regardless of age, sex and comorbidity, in line with current European Society of Cardiology guidelines.

Conclusion Patients reaching Russian hospitals are very likely to receive appropriate treatment, although performance varies. The best hospitals can serve as beacons of good practice as PCI facilities continue to expand across Russia where geography allows.

  • primary PCI
  • public health

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  • Contributors The study was conducted and designed by DL, MM, AVK, HS, KB and NB. Data Collection was overseen by NB, AK, KB, MM and DL. KB and NB prepared the data for analysis. KB conducted the data analysis and prepared the first draft. Interpretation of results were performed by MM, HS, DL, KB and AK. All authors were involved in critical revisions of the article and all authors approved the final version to be published.

  • Funding This work was supported by the Wellcome Trust, as part of the International Project on Cardiovascular Disease in Russia (IPCDR) [100217]; the Norwegian Ministry of Health; the Norwegian Institute of Public Health; and UiT, The Arctic University of Norway.

  • Disclaimer The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available.

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