Clinical trial NCT06815913: To Develop and Introduce Into Polyclinic Practice a Register of Patients with Experience of Myocardial Infarction and Acute Cerebrovascular Disease
Official title: To Develop and Introduce Into Polyclinic Practice a Register of Patients with Experience of Myocardial Infarction and Acute Cerebrovascular Disease
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: Myocardial Infarction (MI)
Acute Cardiovascular Disease
Keywords: registry
multimorbidity
chronic non-communicable diseases
cardiovascular diseases
myocardial infarction
acute cerebrovascular disease
Lead sponsor: State Institution "Republican Scientific and Practical Center" Cardiology, Belarus
Sponsor class: OTHER
First posted: 2025-02-10
Enrollment: 2000
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients who applied to the pilot ambulatory health care organizations between 2019-2022 in order to identify and "look for" patients after acute cardiovascular event, but who were not monitored for that event for various reasons (statute of limitations, refusal, relocation, etc.); meeting the inclusion criteria and not meeting the exclusion criteria.

Brief summary: This is a retrospective observational study using the methodology of creating medical registries. The expected number of patients included in the registry is about 2000 patients with myocardial infarction and/or ACVD of any duration and concomitant non-cardiac diseases of therapeutic profile in pilot healthcare organizations for any reason during 2019-2022 based on the source medical records data.

Detailed description: The implementation of the task results will improve the efficiency of secondary and tertiary prevention of diseases of the circulatory system - pathology that makes the greatest contribution to the main medical-demographic and socio-economic losses of the state by determining the number of groups with the highest risk of death in outpatient and polyclinic institutions among patients after myocardial infarction, ACVD, living in the Republic of Belarus, to create programs of additional measures to reduce morbidity and mortality of the population based on a comparison of register data and official statistical forms, which will ultimately affect the reduction in the incidence of non-fatal recurrent cardiovascular events in individuals after AMI, ACVD and / or their combination of any duration in the range of 0.2-1% of the indicators determined during the study.

Eligibility criteria: Inclusion Criteria:

1. All patients who applied to the pilot ambulatory health care organizations between 2019-2022 in order to identify and "look for" patients after acute cardiovascular event, but who were not monitored for that event for various reasons (statute of limitations, refusal, relocation, etc.);
2. All patients discharged from hospitals with a final diagnosis of AMI/ACVD, assigned territorially to the pilot polyclinics in the period 2019-2022.
3. Presence of a history of AMI and/or ACVD;
4. Age 18 years and older.

Exclusion Criteria:

* No

Primary outcomes:
measure: Mortality from other causes
timeFrame: 3 years
Secondary outcomes:
Other outcomes:
measure: Time to combined end point
timeFrame: 3 years
measure: Proportion of patients with non-fatal myocardial infarction
timeFrame: 3 years
measure: Proportion of patients with non-fatal cerebral stroke
timeFrame: 3 years
measure: Proportion of patients with COVID-19 cases during follow-up
timeFrame: 3 years
measure: Hospitalization due to cardiovascular diseases
timeFrame: 3 years
measure: COVID-19-related hospitalization
timeFrame: 3 years
Locations:
city: Minsk
country: Belarus
facility: Republican Scientific and Practical Center of Cardiology
Study officials:
References: