Predictors of 1-year outcomes in the Taiwan Acute Coronary Syndrome Full Spectrum Registry

Autor: Fu-Tien Chiang, Kou-Gi Shyu, Chiung-Jen Wu, Guang-Yuan Mar, Charles Jia-Yin Hou, Ai-Hsien Li, Ming-Shien Wen, Wen-Ter Lai, Shing-Jong Lin, Chi-Tai Kuo, Chieh Kuo, Yi-Heng Li, Juey-Jen Hwang
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Journal of the Formosan Medical Association, Vol 113, Iss 11, Pp 794-802 (2014)
Druh dokumentu: article
ISSN: 0929-6646
DOI: 10.1016/j.jfma.2013.08.001
Popis: Evidence-based guidelines have been formulated for optimal management of acute coronary syndrome (ACS). The Taiwan ACS Full Spectrum Registry aimed to evaluate the ACS management and identify the predictors of clinical outcomes of death/myocardial infarction/stroke 1 year post hospital discharge. Methods: Three thousand and eighty confirmed ACS patients enrolled in this registry were followed up for 1 year at 3-month intervals. Patient data on medical interventions as well as clinical events were recorded and analyzed by descriptive statistics. Results: One-year mortality among patients with ST-segment elevation myocardial infarction (STEMI), non-STEMI (NSTEMI) and unstable angina was 6.1%, 10.1%, and 6.2%, respectively. Use of secondary preventive therapies was suboptimal throughout the follow-up phase, especially dual antiplatelet therapy, which fell from 74.8% patients at discharge to 24.9% patients at 1-year follow-up. The odds of an adverse incidence of death/myocardial infarction/stroke 1 year after discharge was significantly reduced in patients receiving aspirin and clopidogrel for ≥9 months and was consequently higher in patients in whom dual antiplatelet therapy was discontinued or prescribed for
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