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Review
. 2016 Mar-Apr;68(2):118-27.
doi: 10.1016/j.ihj.2015.07.027. Epub 2016 Jan 18.

Multicenter HP ACS Registry

Prakash Chand Negi  1 , Rajeev Merwaha  2 , Deveshwar Panday  3 , Vivek Chauhan  4 , Rajesh Guleri  5
Affiliations
Review

Multicenter HP ACS Registry

Prakash Chand Negi et al. Indian Heart J. 2016 Mar-Apr.

Abstract

Background: No population representative data on characteristics, treatment, and outcome were available in acute coronary syndrome (ACS) patients.

Methods: The clinical characteristics, treatment, and in-hospital outcome of 5180 ACS patients registered in multicenter ACS Registry across 33 hospitals in the state since January 2012 to December 2014 are reported. ACS was diagnosed using standard criteria.

Result: 70.8% were men; mean age was 60.9±12.1. NSTEMI was more frequent than STEMI (54.5% vs. 45.5%). 83.3% of the ACS population were from rural area. Pre-hospital delay was long, with a median of 780min. 35.6% of STEMI patients received thrombolytic therapy. Evidence-based treatment was prescribed in more than 80% of ACS patients, and the treatment was similar in men and women across all types of health care centers. In-hospital mortality was 7.6%, and was more frequent in STEMI than in NSTEMI (10.8% vs. 5.0%, p<0.001).

Interpretation: Pre-hospital delay was long, and use of reperfusion therapy was significantly lower. The in-hospital death rates are higher.

Keywords: Acute coronary syndrome; Outcomes; Registry.

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Figures

Fig. 1
Fig. 1
District wise distribution of different levels of ACS registry centers.
See this image and copyright information in PMC

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