Progress in the management of ST-segment elevation myocardial infarction during economic transition in Poland between 1992 and 2006.
Implementation of new therapeutic strategies is intended to decrease morbidity and mortality in patients with acute coronary syndromes (ACS). The aim of this study is to evaluate progress in the treatment of ST-segment elevation myocardial infarction (STEMI) in 1992-2006 based on data from Polish National ACS Registry. A total of 881 STEMI patients in 1992-1996 and 889 in 2005-2006 were enrolled. The use of reperfusion therapy resulted in marked reduction in in-hospital and post-discharge mortality with the best results achieved in the invasive arm. Low invasive approach rate in high-risk patients resulted in no reduction in global mortality.
Janion
Marianna
M
Polewczyk
Anna
A
Gasior
Mariusz
M
Poloński
Lech
L
D000368:Aged; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000401:mortality*; D011044:Poland / Q000453:epidemiology; D012042:Registries; D012307:Risk Factors; D012924:Social Conditions / Q000191:economics*; D012959:Socioeconomic Factors