Incidence, pre-hospital delay and prognosis of acute myocardial infarction in big regions of Hungary: Population data from the Hungarian myocardial infarction registry
| Autor: | György Pápai, András Jánosi, Gábor Csató, Ferenc Péter Pach, Péter Andréka, Gergely Erdős |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Population Myocardial Infarction Percutaneous Coronary Intervention Internal medicine medicine media_common.cataloged_instance Humans cardiovascular diseases Myocardial infarction Prospective Studies Registries European union education Prospective cohort study media_common education.field_of_study Hungary business.industry Incidence (epidemiology) Mortality rate Incidence Percutaneous coronary intervention General Medicine medicine.disease Prognosis Hospitals Conventional PCI Female business |
| Zdroj: | International journal of clinical practiceREFERENCES. 75(11) |
| ISSN: | 1742-1241 |
| Popis: | AIM To examine the incidence and treatment of acute myocardial infarction (AMI) as well as 30-day and 1-year prognoses of patients in different regions of Hungary. According to the statistical system of the European Union, Hungary can be divided into three major socio-economic regions-west Hungary, central Hungary and east Hungary. METHODS AND RESULTS The Hungarian Myocardial Infarction Registry (HUMIR) is a prospective comprehensive and mandatory disease registry for patients with AMI. The total population of Hungary is currently 9.8 million: 39% live in the eastern region (ER), 31% in the central region (CR) and 30% in the western region (WR). Population over 30 years, the age-standardised incidence of AMI was 177.5 (175.7-179.3) per 100 000 person-year. During hospital treatment, 82.5%-84.6% of patients with ST-elevation (STEMI) and 54.8%-58.8% without ST-elevation (NSTEMI) myocardial infarction underwent PCI. The total ischaemic time of patients with STEMI was shortest in WR (221 minutes) compared with two other regions (CR: 225 minutes and ER: 262 minutes). In the STEMI group, the 30-day mortality rates of male patients were lowest in the WR (P = .03). If PCI was performed, mortality rates for both sexes were lowest in the WR (P |
| Databáze: | OpenAIRE |
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