Document Detail


Burden of disease: medical and economic impact of acute coronary syndromes.
MedLine Citation:
PMID:  17203987     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite advances in treatment, acute coronary syndromes (ACS), which consist mainly of ST-segment elevation myocardial infarction (STEMI) and unstable angina (UA)/non-STEMI (NSTEMI), present an enormous medical, social, and economic burden worldwide. According to public databases, 879 000 patients were discharged from US hospitals with a diagnosis of ACS in 2003. Globally, ACS in the form of myocardial infarction are responsible for almost half of all deaths related to cardiovascular disease. One third of STEMI patients die within 24 hours of onset, and about 15% of UA/NSTEMI patients will die or experience reinfarction within 30 days. ACS also exact a high toll in terms of treatment-related and indirect economic costs. Direct medical costs of ACS are estimated at $75 billion, with a significant portion going toward drug therapy and associated costs. Data from clinical trials indicate that a management strategy including antithrombotic therapy can reduce ACS-related morbidity and mortality and related costs. More recently developed antithrombotic agents may have clinical and economic advantages over older therapies.
Authors:
Alexander G G Turpie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of managed care     Volume:  12     ISSN:  1088-0224     ISO Abbreviation:  Am J Manag Care     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2007-01-05     Completed Date:  2007-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9613960     Medline TA:  Am J Manag Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S430-4     Citation Subset:  H    
Affiliation:
Hamilton Health Sciences-General Hospital, 237 Barton St E, Hamilton, Ontario, Canada L8L 2X2. turpiea@mcmaster.ca
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Cardiovascular Diseases* / economics
Cost of Illness*
Humans
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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