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Clinical outcomes at 30 days in the Brazilian Registry of Acute Coronary Syndromes (ACCEPT).
- Source :
-
Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2013 Jan; Vol. 100 (1), pp. 6-13. - Publication Year :
- 2013
-
Abstract
- Background: There are few registries documenting clinical practice in Brazilian patients with acute coronary syndrome.<br />Objectives: Demography description, occurrence of major clinical adverse events and comparative analysis in patients submitted or not to an invasive strategy (coronary angiography and myocardial revascularization) in a Brazilian multicenter registry of acute coronary syndrome.<br />Methods: The ACCEPT/SBC registry prospectively collected data on acute coronary syndrome patients from 47 Brazilian hospitals. The current analysis reports the occurrence of major clinical outcomes and according to the performance or not of a procedure for myocardial revascularization at the end of 30 day follow-up.<br />Results: Between August 2010 and December 2011, 2.485 patients were enrolled in this registry. Of these, 31.6% had unstable angina, 34.9% and 33.4% had acute coronary syndrome without and with ST-segment elevation. At 30 days, the performance of a myocardial revascularization procedure was progressively higher according to the severity of clinical presentation (38.7% vs. 53.6% vs. 77.7%, p < 0.001). Cardiac mortality among those submitted or not to myocardial revascularization procedure was 1.0% vs. 2.3% (p = 0.268), 1.9% vs. 4.2% (p = 0.070) and 2.0% vs. 8.1% (p < 0.001), in those with unstable angina, acute coronary syndrome without and with ST-segment elevation, respectively.<br />Conclusions: The prescription of a myocardial revascularization procedure was progressively more frequent according to the severity of clinical presentation; for those treated during acute coronary syndrome without and with ST-segment elevation, there was a trend and significant decrease in mortality rate at 30 day of follow-up, respectively.
- Subjects :
- Acute Coronary Syndrome therapy
Age Distribution
Aged
Brazil epidemiology
Female
Humans
Male
Middle Aged
Myocardial Revascularization statistics & numerical data
Prospective Studies
Risk Factors
Sex Distribution
Time Factors
Treatment Outcome
Acute Coronary Syndrome epidemiology
Medical Records statistics & numerical data
Registries statistics & numerical data
Subjects
Details
- Language :
- English; Portuguese
- ISSN :
- 1678-4170
- Volume :
- 100
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Arquivos brasileiros de cardiologia
- Publication Type :
- Academic Journal
- Accession number :
- 23370816
- Full Text :
- https://doi.org/10.1590/s0066-782x2013000100003