Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
7535776 | Revista Portuguesa de Cardiologia | 2018 | 11 Pages |
Abstract
The Portuguese Registry of Acute Coronary Syndromes (ProACS) has completed 15 years of continuous and prospective activity. We present an overall picture of the data from this powerful tool. Up to 2016, 45 141 records were included, mostly male (71%), and with a mean age of 66 years. Baseline characteristics remained stable over the years. Of the overall population, 44% of cases were STâelevation myocardial infarction (STEMI). Over the years there was a significant improvement in compliance with international guidelines, in terms of both diagnostic and therapeutic procedures, as well as for medication. In particular, the rate of reperfusion in STEMI increased to 84%, mainly by primary percutaneous coronary intervention (only 5.2% were treated by thrombolysis in 2016). By contrast, timings in STEMI did not change significantly. Improvements in treatment were accompanied by a reduction in inâhospital mortality from 6.7% in 2002 to 2.5% in 2016 in the overall population. This registry enables analysis of the management and results of acute coronary syndromes over time in Portugal, and hence assessment of improvements in quality of care.
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Authors
Ana Teresa Timóteo, Jorge Mimoso, em nome dos investigadores do Registo Nacional de SÃndromes Coronárias Agudas em nome dos investigadores do Registo Nacional de SÃndromes Coronárias Agudas,