Epidemiological analyses for preparation of Clinical Practice Guidelines related to acute coronary syndromes in the Czech Republic

Authors

KLUGAR Miloslav HUNČOVSKÝ Martin POKORNÁ Andrea DOLANOVÁ Dana BENEŠOVÁ Klára JARKOVSKÝ Jiří MUŽÍK Jan LÍČENÍK Radim NEČAS Tomáš BÚŘILOVÁ Petra DUŠEK Ladislav MELICHAROVÁ Hana KLUGAROVÁ Jitka

Year of publication 2019
Type Article in Periodical
Magazine / Source International Journal of Evidence-Based Healthcare
MU Faculty or unit

Faculty of Medicine

Citation
Web http://dx.doi.org/10.1097/XEB.0000000000000185
Doi http://dx.doi.org/10.1097/XEB.0000000000000185
Keywords acute coronary syndromes; clinical practice guidelines; epidemiology; heart attack; ischemic heart disease; non-ST-segment elevation myocardial infarction; ST-segment elevation myocardial infarction; unstable angina
Description Coronary heart disease, sometimes also referred to as ischemic heart disease, remains the leading condition causing most deaths and disability-adjusted life years worldwide. Acute coronary syndrome (ACS) represents a subset that is defined by sudden reduction of blood supply in the coronary arteries. ACS consists of unstable angina, non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). The current short communication aims to provide current ACS prevalence and incidence data analysis to inform development of clinical practice guidelines in the Czech Republic. The Institute of Health Information and Statistics of the Czech Republic has provided the data that are collected by the National Health Information System with the National Register of Reimbursed Health Services as a primary source providing data for the period from 2015 to 2017. There has been a slight decrease in the number of hospitalized patients for ACS in the Czech Republic from 2015 to 2017. Sex difference remains large, with majority (two thirds) of those hospitalized for unstable angina, NSTEMI, or STEMI being men. Hospitalization with STEMI is reported in younger age with no sex difference compared with NSTEMI and unstable angina.

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