Data on the care and prognosis of patients treated for myocardial infarction. Hungarian Myocardial Infarction. Registry 2023

Autor: Jánosi András
Jazyk: English<br />Hungarian
Rok vydání: 2024
Předmět:
Zdroj: Cardiologia Hungarica, Vol 54, Pp 243-251 (2024)
Druh dokumentu: article
ISSN: 0133-5596
1588-0230
DOI: 10.26430/CHUNGARICA.2024.54.3.243
Popis: The annual report of the Hungarian Myocardial Infarction Registry (HUMIR) is traditionally published in Cardiologia Hungarica. In 2023, we registered 13,451 myocardial infarction (MI) events (STEMI 47.6%, NSTEMI 52.4%), which is 88.5% of all financed treatments. Primary percutaneous intervention (PCI) was used during revascularization in 85.6% of STEMI and 63,4% of NSTEMI patients. Coin opening the vessel was still too late. In STEMI patients: the median total ischemic time (the time elapsed between the onset of the complaint and the opening of the vessel) was 265 minutes. In 45.8% of the patients, revascularization took place within 4 hours, and in every tenth patient (10.6%), it took 24 hours or more until the vessel was opened. In NSTEMI infarction, 61% of patients underwent PCI within 24 hours. Cardiac catheterization was performed almost exclusively by radial way (94.5% and 95.8%). Almost exclusively drug eluting stents were used (94.2%, 92.8%) During hospitalization, almost all patients received drug treatment important from the point of view of secondary prevention, and were given a recommendation to continue it. After the acute phase 10.9% of STEMI patients and 5.8% of NSTEMI patients were admitted to a rehabilitation institution. The 30-day mortality of STEMI patients was 14.7%, and 11.6% if primary PCI was performed. 10.1% and 6.7% respectively in NSTEMI patients. We analyzed the frequency of use of coronary angiography, PCI, and 30-day mortality by center. The comparison confirmed significant differences for all factors examined, therefore further investigation is warranted.
Databáze: Directory of Open Access Journals
Externí odkaz: