Data on the state of care of patients treated for myocardial infarction. Hungarian Myocardial Infarction Registry 2014–2018
Gottsegen György Országos Kardiológiai Intézet, Nemzeti Szívinfarktus Regiszter, Budapest
The author summarizes and analyzes the data recorded during the operation of the Hungarian Myocardial Infarction Register 2014–2018. During the period under review, the operation of the Registry was nationwide: the clinical data of patients treated for myocardial infarction were recorded on a mandatory basis. The completeness of the NSZR database in the examined period was around 90%. In some hospital all MI cases were registered. Among registered patients the proportion of non-ST elevation myocardial infarction (NSTEMI) increased in 2018 it was 58.7%. Percutan coronary intervention (PCI) was performed 76-84% in patients with ST-elevation myocardial infarction (STEMI) and 52-58% in NSTEMI group. Total ischaemic time (TIT) (the time elapsed between the onset of the complaint and the opening of the infarct relating artery) proved to have prognostic significance: if the TIT was 200 minutes or less, the survival of patients was significantly better compared to those if TIT was 400 minutes or more. In both types of myocardial infarction the invasive treatment significantly improved patient survival; in 2017, 30-day and 1-year mortality in PCI-treated STEMI patients were 10.1-15.6%, while in the NSTEMI group 6.5-14.8%.