Document Detail


The incidence, treatment strategies and outcomes of acute coronary syndromes in the "reperfusion network" of different hospital types in the Czech Republic: results of the Czech evaluation of acute coronary syndromes in hospitalized patients (CZECH) registry.
MedLine Citation:
PMID:  17442424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To analyze the incidence, treatment strategies and outcomes of acute coronary syndromes (ACS) in Czech population. METHODS AND RESULTS: ACS diagnosis was confirmed in 1345 of 1921 (70%) consecutively admitted patients with suspected ACS. ACS incidence was 3248 cases/million/year and the annual incidence of confirmed myocardial infarction was 1960 per million. In-hospital mortality was 5.1% (10.0% with Q-MI, 4.4% with non-Q-MI, and 0.9% with UAP). Coronary angiography was performed in 92% of STEMI (followed by primary PCI in 83%, by CABG in 3%, by conservative therapy in 6%). Thrombolysis was used in only 1% of patients. Reperfusion therapy was thus used in 87% of all STEMI patients. Discharge medication included aspirin in 95%, a statin in 76%, a beta-blocker in 78%, an ACE inhibitor in 50%, clopidogrel in 60%, and ticlopidine in 4% of patients. CONCLUSIONS: In-hospital mortality of ACS in the Czech network of PCI and non-PCI hospitals is low. Nationwide application of primary PCI strategy for STEMI is feasible and increases the overall use of reperfusion therapy.
Authors:
Petr Widimsky; Michal Zelizko; Petr Jansky; Frantisek Tousek; Frantisek Holm; Michael Aschermann;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-04-18
Journal Detail:
Title:  International journal of cardiology     Volume:  119     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  212-9     Citation Subset:  IM    
Affiliation:
Czech Society of Cardiology and 36 hospitals in the Czech Republic. widim@fnkv.cz
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / therapeutic use
Adult
Aged
Aged, 80 and over
Angina, Unstable / diagnosis,  epidemiology,  therapy*
Angiotensin-Converting Enzyme Inhibitors / therapeutic use
Coronary Angiography
Coronary Artery Bypass
Czech Republic / epidemiology
Female
Hospital Mortality
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
Incidence
Male
Middle Aged
Myocardial Infarction / diagnosis,  epidemiology,  therapy*
Platelet Aggregation Inhibitors / therapeutic use
Registries
Thrombolytic Therapy / methods
Treatment Outcome
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Angiotensin-Converting Enzyme Inhibitors; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Platelet Aggregation Inhibitors

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


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