Interv Akut Kardiol. 2006;5(2):73-77

Myocardial infarction registry pilot project - results from the year 2004

Zdeněk Monhart¹, Hana Grünfeldová², Dana Ryšavá³, MUDr. Tomáš Velimský⁴, Lubomír Ballek⁵, MUDr. Petr Janský⁶, Václav Faltus⁷

¹ Interní oddělení, Nemocnice Znojmo

² Interní oddělení, Městská nemocnice Čáslav

³ Interní oddělení, Nemocnice Kutná Hora

⁴ Interní oddělení, nemocnice Písek

⁵ Interní oddělení, Nemocnice Jindřichův Hradec

⁶ Interní klinika fakultní nemocnice Motol a 2. lékařské fakulty Univerzity Karlovy v Praze

⁷ EuroMISE centrum, Ústav informatiky AV ČR, Praha

Aim: The aim of the study was to compare diagnostic and therapeutic procedures in a population of all patients with acute myocardial infarction in several regions in the Czech Republic.

Methods: A total of all 879 patients (475 men, 404 women) admitted for acute myocardial infarction to five municipal hospitals (Caslav, Jindrichuv Hradec, Kutna Hora, Pisek, Znojmo) was included into the study. We collected the data on the patients’ risk factors of coronary artery disease, initial ECG and haemodynamic features, reperfusion therapy among patients with ST elevation MI, medical therapy in the first 24 hours and at discharge, and in-hospital complications.

Results: The majority of patients were male, with a mean age of 70.2 years. Chest pain was the presenting symptom in 88 % of the patients, most patients were not haemodynamically affected (71 % in Killip class I). The proportion of non – ST elevation MI was larger (70 %). In the subgroup STEMI 71 % received some form of reperfusion therapy (primary angioplasty in 68 % and fibrinolytic therapy in 3 %). Most patients received aspirin and heparin (87 % and 96 % respectively) within the first 24 hours, thienopyridins were used in 30 %.

On discharge, the prescribed drugs included: aspirin (88 %), beta-blockers and statins (75 %), ACE inhibitors (64 %), thienopyridins (44 %). The most frequent in-hospital complication (19 %) was heart failure, 6 % of patiens had cardiac arrest with resuscitation. In-hospital mortality for all patients was 9.1 %. The mean duration of hospitalization was 9.9 days for all patients.

Keywords: acute myocardial infarction, registry, risk factors, reperfusion therapy, medication

Published: July 1, 2006  Show citation