Clinical characteristics and treatment strategies in patients with acute coronary syndromes in hospitals without an on-site invasive facility. The Registry of Acute Coronary Syndromes in the Malopolska Region 2002-2003
Journal Title: Postępy w Kardiologii Interwencyjnej - Year 2005, Vol 1, Issue 2
Abstract
Introduction: Acute Coronary Syndromes (ACS) are divided, based on the ECG curve, into ST segment Elevation Acute Coronary Syndromes (STE ACS) and Non ST segment Elevation Acute Coronary Syndromes (NSTE ACS). The aim of this study was to assess clinical and demographic characteristics of the STE ACS and NSTE ACS patients as well as adherence to current ACS treatment guidelines in hospitals without an on-site invasive facility. Methods: The analysed data come from the Registry of Acute Coronary Syndromes in the Malopolska Region. Twenty nine hospitals, 7 from the Krakow City and 22 from the Malopolska Region, took part in the registry. Data were gathered in between April 2002 and February 2003. Patients were divided according to the initial diagnosis: NSTE ACS or STE ACS. Results: Data on 2382 patients were gathered. STE ACS was diagnosed in 45% (1059) of the patients, whereas NSTE ACS in 55% (1323 patients). An invasive approach was undertaken in 13,9% of STE ACS and 14,4% of NSTE ACS patients (p=NS). In-hospital mortality among the patients remaining in community hospitals for conservative treatment was 12% in STE ACS and 1,9% in NSTE ACS patients respectively (p
Authors and Affiliations
Dariusz Dudek, Zbigniew Siudak, Marcin Kuta, Waldemar Mielecki, Tomasz Rakowski, Artur Dziewierz, Dawid Giszterowicz, Jacek Dubiel
Keywords
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