Lege Artis Medicinae

[Analysis of factors influencing the efficacy of Hungarian acute cardiac care]

BECKER Dávid1, SKODA Réka1, BOKOR Laura1, BÁRCZI György1, VÁGÓ Hajnalka, MERKELY Béla1, GAJDÁCSI József2, BELICZA Éva3, NEMES Attila4, DINYA Elek, TÖRŐCSIK Klára5

SEPTEMBER 30, 2020

Lege Artis Medicinae - 2020;30(08-09)

[Despite the modern invasive acute cardiac care available for all, as opposed to short-term mortality, the long-term mortality of Hungarian myocardial infarction patients exceeds significantly those of European patients getting similar treatment. In order to change this situation, it is necessary to assess and analyse exactly the factors behind. While analysing retrospectively the data of Hungarian acute myocardial infarction patients, we identified the influencing factors of short- and long-term mortality. This study processed data from 2003 to the present days from a number of registries (Heart- and Vascular Center of Semmelweis University VMAJOR I and VMAJOR II registry, Stent for Life I and II Programs of the European Society of Cardiology, National Public Health Service’s registry about Cardiac Care in Central Hungary, Budapest Modell database). According to our detailed examination, the proportion of primary per­cutaneous coronary intervention in ST-segment elevation myocardial infarction is at Western-European level, however the invasive treatment of acute coronary attack patients with Non-ST segment myocardial infarction is below the required. The so-cal­led hesitation span of Hungarian pa­tients with ST-segment myocardial infarc­tion is substantially longer than that of neighbouring countries thus the average cardiovascular risk of relevant Hungarian patients is significantly higher than those of the GRACE Register’s population. Based on our results a complex strategy can be developed which may have impact also on strategic health­care decisions in order to reduce the long-term mortality of patients surviving myocardial infarction.]

AFFILIATIONS

  1. Semmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika
  2. Semmelweis Egyetem, Orvosszakmai Fôigazgatóság
  3. Semmelweis Egyetem, Egészségügyi Menedzserképzô Központ
  4. Szegedi Tudományegyetem, Általános Orvostudományi Kar
  5. Semmelweis Egyetem, Igazságügyi és Biztosítás-orvostani Intézet

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