The incidence and outcomes of acute coronary syndromes in a
central European country: Results of the CZECH-2 registry

J 2014

The incidence and outcomes of acute coronary syndromes in a central European country: Results of the CZECH-2 registry

TOUSEK, Petr; Frantisek TOUSEK; David HORAK; Pavel CERVINKA; Richard ROKYTA et al.

Základní údaje

Originální název

The incidence and outcomes of acute coronary syndromes in a central European country: Results of the CZECH-2 registry

Autoři

TOUSEK, Petr; Frantisek TOUSEK; David HORAK; Pavel CERVINKA; Richard ROKYTA; Ladislav PESL; Jiří JARKOVSKÝ a Petr WIDIMSKÝ

Vydání

International Journal of Cardiology, Ireland, ELSEVIER IRELAND LTD, 2014, 0167-5273

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Irsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 4.036

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/14:00076175

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Acute coronary syndrome; Registry; Outcome; Incidence

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 20. 8. 2014 14:13, Soňa Böhmová

Anotace

V originále

Background: The incidence and treatment strategies of acute coronary syndrome (ACS) vary by region. Additionally, the clinical spectrum of ACS is changing and outcomes are improving. Aim: We assessed the incidence, treatment strategies, and outcomes of ACS for a well-defined population within a well-established network of percutaneous coronary intervention (PCI) centers and non-PCI centers. Methods: The CZECH-2 registry included 1221 consecutive patients (mean age: 68 +/- 13 years; 63.4% males) admitted for suspected ACS to 32 hospitals (including 4 PCI centers) within four Czech counties (total population: 2,370,841 inhabitants) during a 2-month period. Results: The estimated incidence of confirmed ACS was 2149 cases/million/year. In 374 (31%) patients, ACS was ruled out during the hospital stay. Coronary angiography (CAG) was performed in 60% of the patients overall and PCIwas performed in 59% of the confirmed ACS patients. Killip classifications II-IV on admissionweremore common in patientswith final diagnosis of non ST-elevationmyocardial infarction (NSTEMI) than ST-elevationmyocardial infarction (STEMI) (37.1% vs. 22.8%; p b 0.001). The 30-day mortality rate was 5.7% for the whole study group, 7.3% for STEMI patients, 8.4% for NSTEMI patients, and 1.6% for patients with unstable angina pectoris (UAP), respectively. Conclusions: Almost one-third of the patients admitted for suspected ACS had a different final diagnosis. Among those with confirmed ACS, the use of CAG, PCI, CABG, and effective medications is rational. Outcome in NSTEMI patients was equivalent to those in STEMI patients, mainly due to the high-risk population in this group.

Citovat

TOUSEK, Petr; Frantisek TOUSEK; David HORAK; Pavel CERVINKA; Richard ROKYTA; Ladislav PESL; Jiří JARKOVSKÝ a Petr WIDIMSKÝ. The incidence and outcomes of acute coronary syndromes in a central European country: Results of the CZECH-2 registry. International Journal of Cardiology. Ireland: ELSEVIER IRELAND LTD, 2014, roč. 173, č. 2, s. 204-208. ISSN 0167-5273. Dostupné z: https://doi.org/10.1016/j.ijcard.2014.02.013.

@article{1195381,
   author = {Tousek, Petr and Tousek, Frantisek and Horak, David and Cervinka, Pavel and Rokyta, Richard and Pesl, Ladislav and Jarkovský, Jiří and Widimský, Petr},
   article_location = {Ireland},
   article_number = {2},
   doi = {https://doi.org/10.1016/j.ijcard.2014.02.013},
   keywords = {Acute coronary syndrome; Registry; Outcome; Incidence},
   language = {eng},
   issn = {0167-5273},
   journal = {International Journal of Cardiology},
   title = {The incidence and outcomes of acute coronary syndromes in a central European country: Results of the CZECH-2 registry},
   volume = {173},
   year = {2014}
}

TY  - JOUR
ID  - 1195381
AU  - Tousek, Petr - Tousek, Frantisek - Horak, David - Cervinka, Pavel - Rokyta, Richard - Pesl, Ladislav - Jarkovský, Jiří - Widimský, Petr
PY  - 2014
TI  - The incidence and outcomes of acute coronary syndromes in a central European country: Results of the CZECH-2 registry
JF  - International Journal of Cardiology
VL  - 173
IS  - 2
SP  - 204-208
EP  - 204-208
PB  - ELSEVIER IRELAND LTD
SN  - 01675273
KW  - Acute coronary syndrome
KW  - Registry
KW  - Outcome
KW  - Incidence
N2  - Background: The incidence and treatment strategies of acute coronary syndrome (ACS) vary by region. Additionally, the clinical spectrum of ACS is changing and outcomes are improving. Aim: We assessed the incidence, treatment strategies, and outcomes of ACS for a well-defined population within a well-established network of percutaneous coronary intervention (PCI) centers and non-PCI centers. Methods: The CZECH-2 registry included 1221 consecutive patients (mean age: 68 +/- 13 years; 63.4% males) admitted for suspected ACS to 32 hospitals (including 4 PCI centers) within four Czech counties (total population: 2,370,841 inhabitants) during a 2-month period. Results: The estimated incidence of confirmed ACS was 2149 cases/million/year. In 374 (31%) patients, ACS was ruled out during the hospital stay. Coronary angiography (CAG) was performed in 60% of the patients overall and PCIwas performed in 59% of the confirmed ACS patients. Killip classifications II-IV on admissionweremore common in patientswith final diagnosis of non ST-elevationmyocardial infarction (NSTEMI) than ST-elevationmyocardial infarction (STEMI) (37.1% vs. 22.8%; p b 0.001). The 30-day mortality rate was 5.7% for the whole study group, 7.3% for STEMI patients, 8.4% for NSTEMI patients, and 1.6% for patients with unstable angina pectoris (UAP), respectively. Conclusions: Almost one-third of the patients admitted for suspected ACS had a different final diagnosis. Among those with confirmed ACS, the use of CAG, PCI, CABG, and effective medications is rational. Outcome in NSTEMI patients was equivalent to those in STEMI patients, mainly due to the high-risk population in this group.
ER  -

TOUSEK, Petr; Frantisek TOUSEK; David HORAK; Pavel CERVINKA; Richard ROKYTA; Ladislav PESL; Jiří JARKOVSKÝ a Petr WIDIMSKÝ. The incidence and outcomes of acute coronary syndromes in a central European country: Results of the CZECH-2 registry. \textit{International Journal of Cardiology}. Ireland: ELSEVIER IRELAND LTD, 2014, roč.~173, č.~2, s.~204-208. ISSN~0167-5273. Dostupné z: https://doi.org/10.1016/j.ijcard.2014.02.013.

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