{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T09:54:09Z","timestamp":1753869249436,"version":"3.41.2"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Myocardial infarction (MI) is <jats:italic>a major<\/jats:italic> cause of mortality worldwide, irrespective of its presentation as non\u2010ST\u2010segment elevation MI (NSTEMI) or ST\u2010segment elevation MI (STEMI). The objective of this study was to assess national results of management and clinical outcome of acute MI patients in Kosovo.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional descriptive study, conducted at the Clinic of Cardiology of the University Clinical Center of Kosovo, in Prishtina, included all patients hospitalized with acute MI over a period of 7 years (2014\u20102020). The primary outcome of the study was in\u2010hospital mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 7353 admitted patients with acute MI (mean age 63\u2009\u00b1\u200912 years, 29% female) and according to the final diagnosis, 4436 (59.4%) patients had STEMI, and 2987 (40.6%) NSTEMI. More patients with STEMI received primary percutaneous intervention (PPCI) than those with NSTEMI (50% vs. 41%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). In\u2010hospital mortality was higher in no PPCI patients compared to PPCI both in NSTEMI (10.7% vs. 2.6%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and STEMI (20.9% vs. 6.8%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Age \u226565 years [0.399 (0.267\u20130.597), <jats:italic>p<\/jats:italic>\u2009\u02c2\u20090.001], hemoglobin level [0.889 (0.815\u20130.970), <jats:italic>p<\/jats:italic>\u2009=\u20090.008], STEMI [0.491 (0.343\u20130.704), <jats:italic>p<\/jats:italic>\u2009\u02c2\u20090.001], lack of PPCI [2.636 (1.798\u20133.866), p\u2009\u02c2\u20090.001], cardiogenic shock [0.002 (0.001\u20130.006), <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001], reduced left ventricular ejection fraction (LV EF) [0.966 (0.951\u20130.980), <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001], and heart rate at admission [1.009 (1.000\u20131.017), <jats:italic>p<\/jats:italic>\u2009=\u20090.047], independently predicted mortality. In STEMI, cardiogenic shock (<jats:italic>p<\/jats:italic>\u2009\u02c2\u20090.001), lack of PPCI (<jats:italic>p<\/jats:italic>\u2009=\u20090.006), female gender (<jats:italic>p<\/jats:italic>\u2009=\u20090.01), and low LV EF (<jats:italic>p<\/jats:italic>\u2009=\u20090.04) predicted mortality but age \u226565 years (<jats:italic>p<\/jats:italic>\u2009=\u20090.02), female gender (<jats:italic>p<\/jats:italic>\u2009=\u20090.02), low LV EF (<jats:italic>p<\/jats:italic>\u2009=\u20090.007), and low hemoglobin (<jats:italic>p<\/jats:italic>\u2009=\u20090.04) predicted mortality in NSTEMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Between 2014 and 2020, half of patients with acute MI were not treated with PPCI, who had high mortality, particularly when presenting with STEMI. Age, cardiogenic shock, anemia, low LV EF, STEMI and no PPCI independently predicted mortality. Cardiogenic shock and lack of PPCI independently predicted mortality, only in STEMI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.70122","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T04:09:29Z","timestamp":1729138169000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management and clinical outcome of myocardial infarction in Kosovo: A cross\u2010sectional study"],"prefix":"10.1002","volume":"7","author":[{"given":"Arlind","family":"Batalli","sequence":"first","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Medical Faculty University of Prishtina Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Henein","sequence":"additional","affiliation":[{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afrim","family":"Poniku","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Medical Faculty University of Prishtina Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranvera","family":"Ibrahimi","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edita","family":"Pllana\u2010Pruthi","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shpend","family":"Elezi","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Medical Faculty University of Prishtina Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faik","family":"Shatri","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genc","family":"Abdyli","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Medical Faculty University of Prishtina Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artan","family":"Bajraktari","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rona","family":"Karahoda","sequence":"additional","affiliation":[{"name":"Research Unit, Heimerer College, 10000 Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamza","family":"Selmani","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibadete","family":"Byty\u00e7i","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Medical Faculty University of Prishtina Prishtina Kosovo"},{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0410-968X","authenticated-orcid":false,"given":"Gani","family":"Bajraktari","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Clinical Centre of Kosova Prishtina Kosovo"},{"name":"Medical Faculty University of Prishtina Prishtina Kosovo"},{"name":"Department of Public Health and Clinical Medicine Ume\u00e5 University  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.11.005"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2021-069164","article-title":"Variation in revascularisation use and outcomes of patients in hospital with acute myocardial infarction across six high income countries: cross sectional cohort study","volume":"377","author":"Cram P","year":"2022","journal-title":"BMJ"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2022.09.062"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-019-1217-x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2015.04.007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpcardiol.2009.10.002"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.591792"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.1699"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.36660\/abc.20190573"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2020.12.015"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012715"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2013-305196"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-13-0702"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuac143"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.14740\/cr772w"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000021288"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111284"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab342"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.07.083"},{"issue":"1","key":"e_1_2_11_21_1","first-page":"207","article-title":"In\u2010hospital mortality of patients with acute myocardial infarction before and after introduction of PCI in Split University Hospital Center, Croatia","volume":"37","author":"Miri\u0107 D","year":"2013","journal-title":"Coll Antropol"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-023-03231-w"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.70122","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T05:15:31Z","timestamp":1733202931000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.70122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":21,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1002\/hsr2.70122"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.70122","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"type":"print","value":"2398-8835"},{"type":"electronic","value":"2398-8835"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-02-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70122"}}