open access

Vol 65, No 8 (2007)
Other
Published online: 2007-08-29
Submitted: 2012-12-28
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Original article
Polish Registry of Acute Coronary Syndromes (PL-ACS)Characteristics, treatments and outcomes of patients with acute coronary syndromes in Poland

Lech Poloński, Mariusz Gąsior, Marek Gierlotka, Zbigniew Kalarus, Andrzej Cieśliński, Jacek S. Dubiel, Robert J. Gil, Witold Rużyłło, Maria Trusz-Gluza, Marek Zembala, Grzegorz Opolski
Kardiol Pol 2007;65(8):861-872.

open access

Vol 65, No 8 (2007)
Other
Published online: 2007-08-29
Submitted: 2012-12-28

Abstract

Background: In Poland, together with the transformation of the political system, significant positive changes have been made to the national health care system. This provided a possibility for hospitals to apply current standards of care to patients with acute coronary syndromes (ACS).
Aim:
To assess contemporary data on epidemiology, management and outcomes of patients with ACS in Poland, and to evaluate adherence to the guidelines’ recommended treatment.
Methods:
We performed an observational study of 100,193 patients hospitalised due to unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), or ST-segment elevation myocardial infarction (STEMI), prospectively enrolled in 417 hospitals from October 2003 to March 2006 in the ongoing Polish Registry of Acute Coronary Syndromes (PL-ACS). The registry is carried out in cooperation with the Ministry of Health and the National Health Fund.
Results:
The initial diagnoses were unstable angina in 42.2%, NSTEMI in 26.6%, and STEMI in 31.2% of patients. About one-third of patients were treated outside of cardiology departments (mainly in the internal medicine wards). In patients without ST elevation, invasive strategy (early coronary angiography) was used with almost equal frequency in unstable angina (29.4%) and NSTEMI (31.7%). However, in-hospital mortality was low in unstable angina (0.8%), being much higher in NSTEMI patients (6.6%), (p

Abstract

Background: In Poland, together with the transformation of the political system, significant positive changes have been made to the national health care system. This provided a possibility for hospitals to apply current standards of care to patients with acute coronary syndromes (ACS).
Aim:
To assess contemporary data on epidemiology, management and outcomes of patients with ACS in Poland, and to evaluate adherence to the guidelines’ recommended treatment.
Methods:
We performed an observational study of 100,193 patients hospitalised due to unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), or ST-segment elevation myocardial infarction (STEMI), prospectively enrolled in 417 hospitals from October 2003 to March 2006 in the ongoing Polish Registry of Acute Coronary Syndromes (PL-ACS). The registry is carried out in cooperation with the Ministry of Health and the National Health Fund.
Results:
The initial diagnoses were unstable angina in 42.2%, NSTEMI in 26.6%, and STEMI in 31.2% of patients. About one-third of patients were treated outside of cardiology departments (mainly in the internal medicine wards). In patients without ST elevation, invasive strategy (early coronary angiography) was used with almost equal frequency in unstable angina (29.4%) and NSTEMI (31.7%). However, in-hospital mortality was low in unstable angina (0.8%), being much higher in NSTEMI patients (6.6%), (p
Get Citation

Keywords

acute coronary syndromes; registry; epidemiology; in-hospital outcomes; invasive strategy; guidelines’ recommended treatment

About this article
Title

Original article
Polish Registry of Acute Coronary Syndromes (PL-ACS)Characteristics, treatments and outcomes of patients with acute coronary syndromes in Poland

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 8 (2007)

Pages

861-872

Published online

2007-08-29

Bibliographic record

Kardiol Pol 2007;65(8):861-872.

Keywords

acute coronary syndromes
registry
epidemiology
in-hospital outcomes
invasive strategy
guidelines’ recommended treatment

Authors

Lech Poloński
Mariusz Gąsior
Marek Gierlotka
Zbigniew Kalarus
Andrzej Cieśliński
Jacek S. Dubiel
Robert J. Gil
Witold Rużyłło
Maria Trusz-Gluza
Marek Zembala
Grzegorz Opolski

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