Myocardialis infarctus regiszter - 2010. Tapasztalatok - Elso eredmények

A. Jánosi, Péter Ofner, B. Merkely, Péter Polgár, P. Andréka, Károly Zámolyi, R. Kiss, János Tomcsányi, Z. László, András Vértes, Imre Varjú, Ferenc Juhász, János Simon, Sándor Bajkó

Research output: Article

8 Citations (Scopus)

Abstract

Authors present the methodology and first data of Hungarian Myocardial Infarction Register Pilot Study started 1st of January, 2010. The aim of the study is to collect epidemiological data on myocardial infarction, to examine the natural history of the disease and to investigate the main characteristics on patient care in the pilot area. The program is using standardized diagnostic criteria and predefined electronic data record forms (eCRF). The pilot area consists of 5 districts in the capital, and Szabolcs-Szatmár-Bereg county. The area has 997 324 inhabitants. Eight cardiology departments, 5 with heart catheterization facility (C) in Budapest, four hospitals with one C in Szabolcs-Szatmar-Bereg county have been responsible of the patients' care. After starting the program 16 other hospitals joined the program from different parts of Hungary. Between 1st of January 2010 and 1st of May 2011 4293 patients were registered, among them 52.1% with ST segment elevation myocardial infarction (STEMI), 42.1% with non-ST segment elevation myocardial infarction (NSTEMI), while 3% of the patients had unstable angina, and 2.8% of the cases had other diagnosis or the hospital diagnosis was missing in the eCRF. Authors compare the patients care with STEMI in five districts of Budapest and Szabolcs-Szatmár-Bereg county. In Budapest 79.7% of the 301 STEMI patients were treated in C and 84.6% of them were treated with primary percutaneous intervention (pPCI). In Szabolcs-Szatmár-Bereg county 402 patients were registered with STEMI, 62.9% of them were treated in C, where 77% of them were treated with pPCI. The drugs (beta blockers, ACE inhibitors, statins) important for secondary prevention were given more often to patients treated in the capital, however no difference was found in the platelet aggregation inhibitors therapy. Hospital mortality of STEMI patients was 8% in the capital, and 10% in Szabolcs- Szatmár-Bereg county. Authors conclude that the web based myocardial infarction register is feasible and important to have reliable data on patient care and a necessary quality control tool. Authors propose to broaden this pilot program and to start a nationwide myocardial infarction register.

Original languageHungarian
Pages (from-to)1278-1283
Number of pages6
JournalOrvosi Hetilap
Volume152
Issue number32
DOIs
Publication statusPublished - aug. 1 2011

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Registries
Myocardial Infarction
Patient Care
Economics
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Hungary
Platelet Aggregation Inhibitors
Unstable Angina
Cardiac Catheterization
Secondary Prevention
Hospital Mortality
Cardiology
Angiotensin-Converting Enzyme Inhibitors
Quality Control
Pharmaceutical Preparations

Keywords

  • community cardiology
  • epidemiology
  • myocardial infarction
  • myocardial infarction registry

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Myocardialis infarctus regiszter - 2010. Tapasztalatok - Elso eredmények. / Jánosi, A.; Ofner, Péter; Merkely, B.; Polgár, Péter; Andréka, P.; Zámolyi, Károly; Kiss, R.; Tomcsányi, János; László, Z.; Vértes, András; Varjú, Imre; Juhász, Ferenc; Simon, János; Bajkó, Sándor.

In: Orvosi Hetilap, Vol. 152, No. 32, 01.08.2011, p. 1278-1283.

Research output: Article

Jánosi, A, Ofner, P, Merkely, B, Polgár, P, Andréka, P, Zámolyi, K, Kiss, R, Tomcsányi, J, László, Z, Vértes, A, Varjú, I, Juhász, F, Simon, J & Bajkó, S 2011, 'Myocardialis infarctus regiszter - 2010. Tapasztalatok - Elso eredmények', Orvosi Hetilap, vol. 152, no. 32, pp. 1278-1283. https://doi.org/10.1556/OH.2011.29188
Jánosi, A. ; Ofner, Péter ; Merkely, B. ; Polgár, Péter ; Andréka, P. ; Zámolyi, Károly ; Kiss, R. ; Tomcsányi, János ; László, Z. ; Vértes, András ; Varjú, Imre ; Juhász, Ferenc ; Simon, János ; Bajkó, Sándor. / Myocardialis infarctus regiszter - 2010. Tapasztalatok - Elso eredmények. In: Orvosi Hetilap. 2011 ; Vol. 152, No. 32. pp. 1278-1283.
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