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Management and predictors of clinical events in 75 686 patients with acute myocardial infarction
Affiliations- Department of Internal Medicine and Geriatric Cardiology, Center of Postgraduate Medical Education, Warszawa, Poland
- Department of Epidemiology and Health Promotion, School of Public Health, Center of Postgraduate Medical Education, Warszawa, Poland
- Agency for Health Technology Assessment and Tariff System, Warszawa, Poland
- 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland
- Department of Cardiology, University Hospital, Institute of Medical Sciences, University of Opole, Poland
- Department of Cardiology and Internal Medicine, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
- Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Division of Medical Sciences in Zabrze, Silesian Medical University, Zabrze, Poland
- 1st Department of Cardiology, Poznań University of Medical Sciences, Poznań, Poland
- Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland
- Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Kraków, Poland
- John Paul II Hospital, Kraków, Poland
- Faculty of Medicine, Cardinal Stefan Wyszyński University, Warszawa, Poland
- epartment of Preventive Medicine and Education, Medical University of Gdansk, Gdańsk, Poland
- School of Public Health, Center of Postgraduate Medical Education, Warszawa, Poland
- Department of Cardiology, Pomeranian Medical University, Szczecin, Poland
- Department of Interventional Cardiology and Angiology, Institute of Cardiology, Warszawa, Poland
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Abstract
Background: Although mortality in patients with acute myocardial infarction (MI) has decreased substantially over the last few decades in many countries, MI remains a major threat to public health.
Aims: To assess the number and outcomes of patients hospitalized for acute MI in Poland in 2018 as well as proportions of patients participating in cardiac rehabilitation and undergoing invasive cardiac procedures following discharge.
Methods: We used public databases. We included all patients hospitalized for acute MI in Poland in 2018 and assessed event-free survival along with uptake of invasive cardiac procedures, cardiac rehabilitation, and consultations with cardiologists.
Results: A total of 75868 patients (mean age, 68.8 years) were hospitalized for acute MI in Poland in 2018 (the admission rate, 197.0 per 100000 inhabitants). In-hospital mortality was 8.4%, while one-year mortality was 17.3% (one-year post-discharge mortality was 9.8%). Approximately 75% and 96% of discharged patients consulted a general practitioner, whereas 12% and 62% consulted a cardiologist, 5% and 19% underwent percutaneous coronary intervention, 0.6% and 2.9% un-derwent coronary artery bypass grafting, while 0.04% and 1.9% had an implantable cardioverter defibrillator implanted within 30 days and 365 days following discharge. The participation rate in cardiac rehabilitation within the first 14 days following discharge was 11%, within the first 30 days was 19%, and within 365 days was 35%.
Conclusions: In-hospital and post-discharge mortality is still high in Poland. The access to cardiac consultations and cardiac rehabilitation following MI is insufficient. There is considerable potential for a further decrease in mortality in patients suffering from MI in Poland.
Abstract
Background: Although mortality in patients with acute myocardial infarction (MI) has decreased substantially over the last few decades in many countries, MI remains a major threat to public health.
Aims: To assess the number and outcomes of patients hospitalized for acute MI in Poland in 2018 as well as proportions of patients participating in cardiac rehabilitation and undergoing invasive cardiac procedures following discharge.
Methods: We used public databases. We included all patients hospitalized for acute MI in Poland in 2018 and assessed event-free survival along with uptake of invasive cardiac procedures, cardiac rehabilitation, and consultations with cardiologists.
Results: A total of 75868 patients (mean age, 68.8 years) were hospitalized for acute MI in Poland in 2018 (the admission rate, 197.0 per 100000 inhabitants). In-hospital mortality was 8.4%, while one-year mortality was 17.3% (one-year post-discharge mortality was 9.8%). Approximately 75% and 96% of discharged patients consulted a general practitioner, whereas 12% and 62% consulted a cardiologist, 5% and 19% underwent percutaneous coronary intervention, 0.6% and 2.9% un-derwent coronary artery bypass grafting, while 0.04% and 1.9% had an implantable cardioverter defibrillator implanted within 30 days and 365 days following discharge. The participation rate in cardiac rehabilitation within the first 14 days following discharge was 11%, within the first 30 days was 19%, and within 365 days was 35%.
Conclusions: In-hospital and post-discharge mortality is still high in Poland. The access to cardiac consultations and cardiac rehabilitation following MI is insufficient. There is considerable potential for a further decrease in mortality in patients suffering from MI in Poland.
Keywords
cardiac rehabilitation, cardiovascular events, coronary artery disease, mortality, myo-cardial infarction
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About this articleTitle
Management and predictors of clinical events in 75 686 patients with acute myocardial infarction
Journal
Kardiologia Polska (Polish Heart Journal)
Issue
Article type
Original article
Pages
468-475
Published online
2022-02-21
Page views
283
Article views/downloads
118
DOI
10.33963/KP.a2022.0058
Pubmed
Bibliographic record
Kardiol Pol 2022;80(4):468-475.
Keywords
cardiac rehabilitation
cardiovascular events
coronary artery disease
mortality
myo-cardial infarction
Authors
Piotr Jankowski
Roman Topór-Mądry
Mariusz Gąsior
Urszula Cegłowska
Marek Gierlotka
Jacek Kubica
Zbigniew Kalarus
Maciej Lesiak
Wojciech Wojakowski
Jacek Legutko
Radosław Sierpiński
Tomasz Zdrojewski
Jarosław Pinkas
Jarosław Kaźmierczak
Przemysław Mitkowski
Adam Witkowski
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