International Journal of Cardiology
Volume 152, Issue 1 , Pages 70-77 , 6 October 2011

A comparison of ST elevation versus non-ST elevation myocardial infarction outcomes in a large registry database: Are non-ST myocardial infarctions associated with worse long-term prognoses?

  • Lech Polonski

      Affiliations

    • Silesian Centre for Heart Diseases, IIIrd Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • ,
  • Mariusz Gasior

      Affiliations

    • Silesian Centre for Heart Diseases, IIIrd Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • ,
  • Marek Gierlotka

      Affiliations

    • Silesian Centre for Heart Diseases, IIIrd Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • ,
  • Tadeusz Osadnik

      Affiliations

    • Silesian Centre for Heart Diseases, IIIrd Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • Corresponding Author InformationCorresponding author. IIIrd Chair and Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Silesian Centre for Heart Diseases, Szpitalna 2 41-800 Zabrze, Poland. Tel.: +48 32 3733619; fax: +48 32 2732679.
    • ,
  • Zbigniew Kalarus

      Affiliations

    • Silesian Centre for Heart Diseases, Ist Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • ,
  • Maria Trusz-Gluza

      Affiliations

    • Ist Chair and Department of Cardiology, Medical Faculty in Katowice, Medical University of Silesia, Poland
    • ,
  • Marian Zembala

      Affiliations

    • Silesian Centre for Heart Diseases, Chair and Department of Cardiosurgery and Transplantology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • ,
  • Krzysztof Wilczek

      Affiliations

    • Silesian Centre for Heart Diseases, IIIrd Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • ,
  • Andrzej Lekston

      Affiliations

    • Silesian Centre for Heart Diseases, IIIrd Department of Cardiology, Medical Faculty in Zabrze, Medical University of Silesia, Poland
    • ,
  • Tomasz Zdrojewski

      Affiliations

    • Department of Diabetology and Hypertension, Medical University of Gdansk, Poland
    • ,
  • Michal Tendera

      Affiliations

    • IIIrd Chair and Department of Cardiology, Medical Faculty in Katowice, Medical University of Silesia, Poland
    • ,
  • on behalf of the PL-ACS Registry Pilot Group

Received 1 February 2010 ,Revised 10 June 2010 ,Accepted 2 July 2010.

References 

  1. Montalescot G, Dallongeville J, van Belle E, et al. STEMI and NSTEMI are they so different? 1year outcomes in acute myocardial infarction as defined by the ESC/ACC definition (the OPERA registry). Eur Heart J. 2007;28:1409–1417
  2. Steg PG, Gooldberg RJ, Gore JM, et al. Baseline characteristics, management practices and in-hospital mortality of patients hospitalized with acute coronary syndromes in the Global Registry of Acute Coronary events (GRACE). Am J Cardiol. 2002;90:358–363
  3. Nikus KC, Eskola MJ, Virtanen VK. Mortality of patients with acute coronary syndromes still remains high: a follow-up study of 1188 consecutive patients admitted to a university hospital. Ann Med. 2007;39:63–71
  4. Goldberg RJ, Curie K, White K, et al. Six month outcomes in a multinational registry of patients hospitalized with an acute coronary syndrome. (The Global Registry of Acute Coronary Events [GRACE]). Am J Cardiol. 2004;93:288–293
  5. Polonski L, Gasior M, Gierlotka M, et al. Polish Registry of Acute Coronary Syndromes (PL-ACS). Characteristics treatments and outcomes of patients with acute coronary syndromes in Poland. Kardiol Pol. 2007;65:861–872
  6. Heinze G. WCM: A SAS® macro for weighted parameter estimation for Cox's model http://www.meduniwien.ac.at/msi/biometrie/programme/wcm/wcm.pdf (31.01.2010).
  7. Schemper M, Wakounig S, Heinze G. The estimation of average hazard ratios by weighted Cox regression. Stat Med. 2009;28:2473–2489
  8. Cole RS, Hernan MA. Adjusted survival curves with inverse probability weights. Comput Meth Programs Biomed. 2004;75:45–49
  9. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61:344–349
  10. Koryama Y, Hansen PS, Hanratty CG, Nelson GIC, Rasmussen HH. Prevalence of coronary occlusion and outcome of an immediate invasive strategy in suspected acute myocardial infarction with and without ST segment elevation. Am J Cardiol. 2002;90:579–584
  11. Mandelzweig L, Battler A, Boyko V, et al. The second Euro Heart Survey on acute coronary syndromes: characteristics treatment and outcome of patients with ACS in Europe and the Mediterranean Basin in 2004. Eur Heart J. 2006;27:2285–2293
  12. Hasdai D, Behar S, Wallentin L, et al. A prospective survey of the characteristics treatment and outcomes of patients with acute coronary syndromes in Europe and the Mediterranean basin. The Euro Heart Survey of Acute Coronary Syndromes (Euro Heart Survey ACS). Eur Heart J. 2002;23:1190–1201
  13. Roe MT, Peterson Eric D, Li Y, et al. Relationship between risk stratification by cardiac troponin level and adherence to guidelines for non-ST-segment elevation acute coronary syndromes. Arch Intern Med. 2005;165:1870–1876
  14. Roe MT, Parsons LS, Pollack CV, et al. National Registry of Myocardial Infarction Investigators Quality of care by classification of myocardial infarction: treatment patterns for ST-segment elevation vs. non-ST-segment elevation myocardial infarction. Arch Intern Med. 2005;165:1630–1636
  15. Frilling B, Schiele R, Gitt AK, et al. Maximal Individual Therapy in Acute Myocardial Infarction Study Group Too little aspirin for secondary prevention after acute myocardial infarction in patients at high risk for cardiovascular events. Results from the MITRA study. Am Heart J. 2004;148:306–311
  16. Mind your heart campaign. http://www.pamietajosercu.pl (31.05.2010).
  17. Terkelsen CJ, Lassen JF, Norgaard BL, et al. Mortality rates in patients with ST-elevation vs. non-ST-elevation acute myocardial infarction: observations from an unselected cohort. Eur Heart J. 2005;26:18–26
  18. Gustafsson F, Kober L, Torp-Pedersen C, et al. Long-term prognosis after acute myocardial in patients with a history of arterial hypertension. Eur Heart J. 1998;19:588–594
  19. Spacek R, Widimsky P, Straka Z, et al. Value of first day angiography/angioplasty in evolving non-ST segment elevation myocardial infarction: an open multicenter randomized trial. The VINO Study. Eur Heart J. 2002;23:230–238
  20. Fox KA, Poole-Wilson PA, Henderson RA, et al. Randomized Intervention Trial of unstable Angina Investigators Interventional versus conservative treatment for patients with unstable angina or non-STelevation myocardial infarction: the British Heart Foundation RITA 3 randomised trial. Lancet. 2002;360:743–751
  21. Hirsh A, Windhausen F, Tijssen JG, Verheugt FW, Cornel JH, de Winter RJ. Long-term outcome after early invasive versus selective invasive treatment strategy in patients with non-ST-elevation acute coronary syndrome and elevated cardiac troponin T (the ICTUS trial); a follow-up study. Lancet. 2007;369:827–835
  22. Mehta SR, Cannon CP, Fox KAA, et al. Routine vs. selective invasive strategies in patients with acute coronary syndromes. A collaborative Meta-analysis of randomized trials. Jama. 2005;293:2908–2917
  23. Zeymer U, Sengens J. Why do we need prospective registries in patients with acute myocardial infarction?. Eur Heart J. 2003;24:1611–1612
  24. Cannon CP. Revascularization for everyone?. Eur Heart J. 2004;25:1471–1472
  25. Birkhead JS, Weston CF, Chen R. Determinants and outcomes of coronary angiography after non-ST segment elevation myocardial infarction. A cohort study of the Myocardial Ischemia National Audit Project. (MINAP). Heart. 2009;19:1593–1599
  26. Allen LA, O'Donnel CJ, Camargo CA, Giugliano RP, Lloyd-Jones DM. Comparison of long-term mortality across the spectrum of acute coronary syndromes. Am Heart J. 2006;151:1
  27. Coats AJ. Ethical authorship and publishing. Int J Cardiol. 2009;131:149–150065-71

PII: S0167-5273(10)00535-8

doi: 10.1016/j.ijcard.2010.07.008

International Journal of Cardiology
Volume 152, Issue 1 , Pages 70-77 , 6 October 2011

Article Tools

* Image Usage & Resolution