open access

Vol 74, No 8 (2016)
Experts' opinions and Positions papers
Published online: 2016-08-22
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Coordinated care after myocardial infarction. The statement of the Polish Cardiac Society and the Agency for Health Technology Assessment and Tariff System

Piotr Jankowski, Mariusz Gąsior, Marek Gierlotka, Urszula Cegłowska, Marta Słomka, Zbigniew Eysymontt, Michał Gałaszek, Piotr Buszman, Zbigniew Kalarus, Jarosław Kaźmierczak, Jacek Legutko, Gabriela Sujkowska, Wojciech Matusewicz, Grzegorz Opolski, Piotr Hoffman
DOI: 10.5603/KP.2016.0118
·
Kardiol Pol 2016;74(8):800-811.

open access

Vol 74, No 8 (2016)
Experts' opinions and Positions papers
Published online: 2016-08-22

Abstract

The in-hospital mortality following myocardial infarction has decreased substantially over the last two decades in Poland. However, according to the available evidence approximately every 10th patient discharged after myocardial infarction (MI) dies during next 12 months. We identified the most important barriers (e.g. insufficient risk factors control, insufficient and delayed cardiac rehabilitation, suboptimal pharmacotherapy, delayed complete myocardial revascularisation) and proposed a new nation-wide system of coordinated care after MI. The system should consist of four modules: complete revascularisation, education and rehabilitation programme, electrotherapy (including ICDs and BiVs when appropriate) and periodical cardiac consultations. At first stage the coordinated care programme should last 12 months. The proposal contains also the quality of care assessment based on clinical measures (e.g. risk factors control, rate of complete myocardial revascularisation, etc.) as well as on the rate of cardiovascular events. The wide implementation of the proposed system is expected to decrease one year mortality after MI and allow for better financial resources allocation in Poland.

Abstract

The in-hospital mortality following myocardial infarction has decreased substantially over the last two decades in Poland. However, according to the available evidence approximately every 10th patient discharged after myocardial infarction (MI) dies during next 12 months. We identified the most important barriers (e.g. insufficient risk factors control, insufficient and delayed cardiac rehabilitation, suboptimal pharmacotherapy, delayed complete myocardial revascularisation) and proposed a new nation-wide system of coordinated care after MI. The system should consist of four modules: complete revascularisation, education and rehabilitation programme, electrotherapy (including ICDs and BiVs when appropriate) and periodical cardiac consultations. At first stage the coordinated care programme should last 12 months. The proposal contains also the quality of care assessment based on clinical measures (e.g. risk factors control, rate of complete myocardial revascularisation, etc.) as well as on the rate of cardiovascular events. The wide implementation of the proposed system is expected to decrease one year mortality after MI and allow for better financial resources allocation in Poland.

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Keywords

coronary artery disease, myocardial infarction, angioplasty, rehabilitation, prevention, electrotherapy

About this article
Title

Coordinated care after myocardial infarction. The statement of the Polish Cardiac Society and the Agency for Health Technology Assessment and Tariff System

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 74, No 8 (2016)

Pages

800-811

Published online

2016-08-22

DOI

10.5603/KP.2016.0118

Bibliographic record

Kardiol Pol 2016;74(8):800-811.

Keywords

coronary artery disease
myocardial infarction
angioplasty
rehabilitation
prevention
electrotherapy

Authors

Piotr Jankowski
Mariusz Gąsior
Marek Gierlotka
Urszula Cegłowska
Marta Słomka
Zbigniew Eysymontt
Michał Gałaszek
Piotr Buszman
Zbigniew Kalarus
Jarosław Kaźmierczak
Jacek Legutko
Gabriela Sujkowska
Wojciech Matusewicz
Grzegorz Opolski
Piotr Hoffman

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