Long-Term follow-Up and management patterns of patients with Acute Coronary Syndrome in Middle East and Africa - TOURACO

Inclusion Criteria

• Patients presenting to the emergency room (or equivalent) and diagnosed with UA, STEMI
• or NSTEMI will be eligible to participate if all the following criteria apply:
• 1. Provision of subject informed consent.
• 2. Contact Order Form has been provided.
• 3. Female and/or male aged 18 years and over.
• 4. Diagnosis of STEMI, NSTEMI or UA using the following definitions:
• Criteria for STEMI diagnosis :
• (a) History of chest pain/discomfort, and
• (b) Persistent ST-segment elevation (> 30 min) of ≥ 0.1 mV in 2 or more
• contiguous ECG leads or presumed new left bundle branch block (LBBB) on
• admission, and
• (c) Elevation of cardiac biomarkers (CK-MB, troponins): at least one value above the 99th percentile of the upper reference limit.
• Criteria for NSTEMI diagnosis :
• (a) History of chest pain/discomfort, and
• (d) Lack of persistent ST-segment elevation, LBBB or intraventricular
• conduction disturbances, and
• (e) Elevation of cardiac biomarkers (CK-MB, troponins): at least one value
• above the 99th percentile of the upper reference limit.
• Criteria for Unstable Angina diagnosis :
• (a) Symptoms of angina at rest or on minimal exercise, and
• (b) (Transient) ST-T changes, and
• (c) No significant increase in biomarkers of necrosis but objective evidence of
• ischemia by non-invasive imaging or significant coronary stenosis (at
• angiography).
• 5. Hospitalized within 24 hours of onset of symptoms during the current episode* or transferred from another hospital within 24 hours of the onset of symptoms**.
• * In case of intermittent symptoms, the symptoms onset is that of the last episode
• ** If the referred hospital can get the initial data of the patient from the transferring hospital, transferring period
• is not considered as a limitation for patient initiation