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Titolo:
Myocardial infarction in 1996-1998: a comparison between the "old" and "new" Lands of Germany
Autore:
Fischer, F; Schiele, R; Zahn, R; Schneider, S; Wagner, S; Senges, J;
Indirizzi:
Herzzentrum Ludwigshafen, Med Klin B, D-67063 Ludwigshafen, Germany Herzzentrum Ludwigshafen Ludwigshafen Germany D-67063 wigshafen, Germany
Titolo Testata:
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
fascicolo: 40, volume: 125, anno: 2000,
pagine: 1181 - 1185
Fonte:
ISI
Lingua:
GER
Soggetto:
NATIONAL REGISTRY; UNITED-STATES; CASE-FATALITY; EAST-GERMANY; MORTALITY; MORBIDITY; THERAPY; CAPTOPRIL; SURVIVAL; PROJECT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Fischer, F Herzzentrum Ludwigshafen, Med Klin B, Bremserstr 79, D-67063 Ludwigshafen,Germany Herzzentrum Ludwigshafen Bremserstr 79 Ludwigshafen Germany D-67063
Citazione:
F. Fischer et al., "Myocardial infarction in 1996-1998: a comparison between the "old" and "new" Lands of Germany", DEUT MED WO, 125(40), 2000, pp. 1181-1185

Abstract

Background and objective: Little is known about any differences in the prevention, treatment and treatment results of myocardial infarction between the >>old<< (western) and >>new<< (eastern) Lands (OFL vs. NFL) of the now unified Federal Republic of Germany. It was the aim of this study to determine any such differences. Patients and methods: The Myocardial Infarction Register (MIR) is a multicentre and prospective compilation of consecutive unselected data on patients with acute myocardial infarction sustained between December 1996 and May 1998. All date collected between these dates were included in the study: there were 14 608 patients in 211 hospitals, 5678 patients and 68 hospitals of those in the eastern part (former German Democratic Republic). The medianage of the entire collective was 68 years, 35% of patients were female. Results: There was a higher prevalence of risk factors in the NFL than theOFL: 43.3 vs. 39.0% with regard to arterial hypertension (p = 0.002), and 28.9 vs. 22.4% with regard to diabetes mellitus (p < 0.001). The prehospital period was longer in the NFL by an average of 30 min (210 vs. 180 min; p < 0.001. Another difference concerned the lower number of diagnostic ECGs in the NFL (61.8 vs. 68.6%; p < 0.001). There were no significant differences with regard to acute and discharge medication (acetylsalicylic acid, betablockers, angiotensin-converting-enzyme inhibitors and cholesterol-synthesis inhibitors). The frequency of primary recanalization treatment (thrombolysis or percutaneous transluminal coronary angioplasty) in patients with clear-cut indications for thrombolysis was higher in the OFL (85.1 vs. 74.5%; p < 0.001). Hospital mortality was comparable (15.1 vs. 15.9%; p = 0.14). Conclusion: Patient characteristics and treatment in the two parts of Germany were comparable in the two parts. Treatment of acute myocardial infarction attained a similarly high standard in both. But in both parts there is room for improving the application of guidelines for treating of myocardialinfarction to routine clinical practice. Greater effort should be made to inform the population, especially of the NFL, about the need for primary prevention and reduction in prehospital time.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 08:06:35