| 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. | |
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MedLine Citation:
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PMID: 17442424 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Petr Widimsky; Michal Zelizko; Petr Jansky; Frantisek Tousek; Frantisek Holm; Michael Aschermann; |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2007-04-18 |
Journal Detail:
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Title: International journal of cardiology Volume: 119 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-06-04 Completed Date: 2007-06-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 212-9 Citation Subset: IM |
Affiliation:
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Czech Society of Cardiology and 36 hospitals in the Czech Republic. widim@fnkv.cz |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenergic beta-Antagonists
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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:
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0/Adrenergic beta-Antagonists; 0/Angiotensin-Converting Enzyme Inhibitors; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Platelet Aggregation Inhibitors |
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