title: Multicenter HP ACS Registry.
abstract: BACKGROUND
  No population representative data on characteristics, treatment, and outcome were available in acute coronary syndrome (ACS) patients.
  
  
  METHODS
  The clinical characteristics, treatment, and in-hospital outcome of 5180 ACS patients registered in multicenter ACS Registry across 33 hospitals in the state since January 2012 to December 2014 are reported. ACS was diagnosed using standard criteria.
  
  
  RESULTS
  70.8% were men; mean age was 60.9±12.1. NSTEMI was more frequent than STEMI (54.5% vs. 45.5%). 83.3% of the ACS population were from rural area. Pre-hospital delay was long, with a median of 780min. 35.6% of STEMI patients received thrombolytic therapy. Evidence-based treatment was prescribed in more than 80% of ACS patients, and the treatment was similar in men and women across all types of health care centers. In-hospital mortality was 7.6%, and was more frequent in STEMI than in NSTEMI (10.8% vs. 5.0%, p<0.001).
  
  
  CONCLUSIONS
  Pre-hospital delay was long, and use of reperfusion therapy was significantly lower. The in-hospital death rates are higher.
authors.affiliation: Professor, Cardiology, IGMC Shimla, HP, India. Electronic address: negiprakash59@gmail.com.
authors.forename: Prakash Chand
authors.initials: PC
authors.lastname: Negi
authors.affiliation: Assistant Professor, Cardiology, IGMC Shimla, HP, India.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Merwaha
authors.affiliation: Medical Specialist, Zonal Hospital Solan, HP, India.
authors.forename: Deveshwar
authors.initials: D
authors.lastname: Panday
authors.affiliation: Assistant Professor, Internal Medicine, RPGMC Tanda, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Chauhan
authors.affiliation: State HIMS Programme Officer, HP, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Guleri
mesh_terms: D054058:Acute Coronary Syndrome / Q000401:mortality* / Q000628:therapy*; D005260:Female; D014943:Global Health; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D008297:Male; D015337:Multicenter Studies as Topic; D009204:Myocardial Revascularization / Q000379:methods*; D012042:Registries; D012307:Risk Factors; D061665:Time-to-Treatment
keywords: Acute coronary syndrome; Outcomes; Registry