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Titolo:
Management of myocardial infarction in Spain (1995-99). Data from the Registry of the Ischaemic Heart Disease Working Group (RISCI) of the Spanish Society of Cardiology
Autore:
Aros, F; Loma-Osorio, A; Bosch, X; Aracil, JG; Bescos, LL; Marrugat, J; Rabon, P; Palencia, M; Worner, F;
Indirizzi:
Hosp Txagorritxu, Serv Cardiol, Vitoria 01009, Spain Hosp Txagorritxu Vitoria Spain 01009 Serv Cardiol, Vitoria 01009, Spain Hosp Clin Barcelona, E-08036 Barcelona, Spain Hosp Clin Barcelona Barcelona Spain E-08036 na, E-08036 Barcelona, Spain Escola Valenciana Estudis Salut, Valencia, Spain Escola Valenciana EstudisSalut Valencia Spain s Salut, Valencia, Spain Fdn Hosp Alcorcon, Alcorcon, Spain Fdn Hosp Alcorcon Alcorcon SpainFdn Hosp Alcorcon, Alcorcon, Spain Inst Municipal Invest Med, Barcelona, Spain Inst Municipal Invest Med Barcelona Spain Invest Med, Barcelona, Spain Hosp Univ Salamanca, Salamanca, Spain Hosp Univ Salamanca Salamanca Spain sp Univ Salamanca, Salamanca, Spain Hosp La Fe, Valencia, Spain Hosp La Fe Valencia SpainHosp La Fe, Valencia, Spain Bellvitge Hosp, Barcelona, Spain Bellvitge Hosp Barcelona SpainBellvitge Hosp, Barcelona, Spain
Titolo Testata:
REVISTA ESPANOLA DE CARDIOLOGIA
fascicolo: 9, volume: 54, anno: 2001,
pagine: 1033 - 1040
SICI:
0300-8932(200109)54:9<1033:MOMIIS>2.0.ZU;2-2
Fonte:
ISI
Lingua:
SPA
Soggetto:
COOPERATIVE CARDIOVASCULAR PROJECT; PRACTICE GUIDELINES COMMITTEE; ASSOCIATION TASK-FORCE; NATIONAL REGISTRY; THROMBOLYTIC THERAPY; ACC/AHA GUIDELINES; EARLY DISCHARGE; OF-CARDIOLOGY; UNITED-STATES; PROGNOSIS;
Keywords:
registry; myocardial infarction; management; treatment; mortality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Aros, F Hosp Txagorritxu, Serv Cardiol, Vitoria 01009, Spain Hosp Txagorritxu Vitoria Spain 01009 rdiol, Vitoria 01009, Spain
Citazione:
F. Aros et al., "Management of myocardial infarction in Spain (1995-99). Data from the Registry of the Ischaemic Heart Disease Working Group (RISCI) of the Spanish Society of Cardiology", REV ESP CAR, 54(9), 2001, pp. 1033-1040

Abstract

Introduction and objectives. Limited information is available on how patients with myocardial infarction are treated in Spain. In order to make up for this deficiency, in October 1994, the Ischaemic Heart Disease Working Group of the Spanish Society of Cardiology initiated a myocardial infarction registry, which is currently active. Methods. Patients are recruited from hospitals with intensive coronary care facilities. Demographic characteristics, coronary risk factors and previous conditions are collected, as well as clinical events, and diagnostic andtherapeutic procedures performed during the stay in the coronary care unit. Results. From 1995 to 1999, 28,357 patients were registered. During this period the mean age increased slightly (from 64.4 +/- 12.2 to 65.2 +/- 12.7;p < 0.001), although the male proportion remained stable (from 76.7% to 77.1%). The median,onset of symptoms-hospital arrival for list emergency,, time fell from 135 min to 120 min, and the median onset of symptoms-needle,, time from 180 to 175 (NS). The use of thrombolytic therapy did not change (from 42.4 to 43.9%), but the use of aspirin (from 87.4 to 91.7%), beta-blockers (from 32.7 to 39.6%) and angiotensin-converting inhibitors (from 27.9 to 34.8%) increased significantly (p < 0.001). The Swan-Ganz catheter and the intraaortic balloon counterpulsation were rarely placed during the five years (4.2% and 1.2% respectively in 1999). Both early mortality (11.4 to 9.3%) and the median duration of intensive coronary care stay declined, in these 5 years. Conclusions. In Spain, during the 1995-1999 period, the use of aspirin, beta-blockers, and angiotensin-converting inhibitors increased significantly during the acute phase of infarction in the coronary care unit. However, both the usage of thrombolytic therapy and the delay between the onset of symptoms and therapy initiation remained unchanged. At the same time, the length of stay in the coronary care unit and early mortality declined, althoughthe clinical profile of the patients did not improve.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 13:39:05