Care and prognosis of patients treated for myocardial infarction. Hungarian Myocardial Infarction Registry, 2021*
Gottsegen György Országos Kardiovaszkuláris Intézet, Nemzeti Szívinfarktus Regiszter, Budapest
Prof. dr. Jánosi András c. egyetemi tanár, Gottsegen György Országos Kardiovaszkuláris Intézet, 1096 Haller u. 29.
*Készült a 2022. 03. 17-ig beérkezett adatok alapján.
**A Nemzeti Szívinfarktus Regiszter résztvevőinek nevében.
Based on the Hungarian Myocardial Infarction Registry data, the author summarized the patient care with myocardial infarction in 2021. In the examined year, both the number of financed treatments for acute myocardial infarction and the number of registered events decreased compared to 2019. However, the number of deaths caused by myocardial infarction did not change in the mortality statistics published by the Hungarian Central Office of Statistics. The completeness of the registration at the time of writing is 83.4%. The registration activity of invasive centres usually reaches or approaches 90%. The best registration activity was in Szeged, where 99.5% of the treated patients were recorded in the system, while in two centres (Military Hospital, Budapest; Győr County Hospital, Győr), this value was significantly lower than desired. In the STEMI group, stent implantation was performed in 99.9% of patients with abnormal coronary artery disease, and 99% of the stents used were DES. In 77.4% of patients, the vessel was opened within 12 hours. In the NSTEMI group, coronary angiography was performed in 5,544 (83.9%) patients, and 4191 patients (63.5%) received stents. Coronary angiography was performed from radial access in more than 90% of the investigations for both types of infarctions. In 2021, 30-day the mortality rates were very similar compared to the previous years. The COVID pandemic did not increase the 30-day mortality of patients with myocardial infarction. From 1 July 2021, Hungary used the same data structure as the EuroHeart program. We are currently working on the data transfer details after receiving the Hungarian authorities’ permit.