Contribution of Percutaneous Coronary Intervention in the Management of Acute Coronary Syndromes in Burkina Faso: Results from the Ouagadougou Myocardial Infarction Registry (RIO) and the Burkina Interventional Cardiology Registry (RE.C. I -Burkina)

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Résumé

Aim: This study aimed to evaluate impact of percutaneous coronary intervention (PCI) in management and prognosis of acute
coronary syndromes in Ouagadougou.
Methods: An analytic study compared data from two registries: the myocardial Infarction registry of Ouagadougou (RIO) before
PCI and the Interventional Cardiology Registry of Burkina Faso (RE.C. I-Burkina) in the era of PCI. It included patients aged
more than 18 years admitted for acute coronary syndromes (ACS) in Ouagadougou. Sociodemographic, clinical, therapeutic
characteristics and outcomes of the patients of the two registries were analyzed.
Results: 343 patients were included. Patients of RE.C. I-Burkina registry were younger than them of RIO registry (p=0.011).
ACS was dominated by STEMI in both registries. In RE.C. I-Burkina coronary lesions were multivessel in 74%. PCI was
performed in 55,9% of patients who underwent coronary angiography with successful procedure in 92,1% of cases. In hospital
mortality in the RE.C.I.-Burkina registry was lower than that in the RIO registry (5,9% vs 12.7%, p=0.011).
Conclusion: PCI improved coronary revascularization rate and hospital mortality from ACS in Burkina Faso. These results
should be better by earlier cares and team improvement.
Key words: acute coronary syndromes; coronary angiography; percutaneous coronary intervention; prognosis; Burkina Faso

Mots-clés

Key words: acute coronary syndromes; coronary angiography; percutaneous coronary intervention; prognosis; Burkina Faso