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. 2014 Aug 11;3(4):e001066.
doi: 10.1161/JAHA.114.001066.

Trends in the incidence and management of acute myocardial infarction from 1999 to 2008: get with the guidelines performance measures in Taiwan

Cheng-Han Lee  1 , Ching-Lan Cheng  2 , Yea-Huei Kao Yang  2 , Ting-Hsing Chao  1 , Ju-Yi Chen  1 , Ping-Yen Liu  1 , Chih-Chan Lin  1 , Shih-Hung Chan  1 , Liang-Miin Tsai  1 , Jyh-Hong Chen  1 , Li-Jen Lin  1 , Yi-Heng Li  1
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Trends in the incidence and management of acute myocardial infarction from 1999 to 2008: get with the guidelines performance measures in Taiwan

Cheng-Han Lee et al. J Am Heart Assoc. .

Abstract (V体育ios版)

Background: The American Heart Association Get With the Guidelines (GWTG) program has improved care quality of acute myocardial infarction (AMI) with important implications for other countries in the world. This study evaluated the incidence and care of AMI in Taiwan and assessed the compliance of GWTG in Taiwan. VSports手机版.

Methods and results: We used the Taiwan National Health Insurance Research Database (1999-2008) to identify hospitalized patients ≥18 years of age presenting with AMI. The temporal trends of annual incidence and care quality of AMI were evaluated. The age-adjusted incidence of AMI (/100 000 person-years) increased from 28. 0 in 1999 to 44. 4 in 2008 (P<0. 001). The use of guideline-based medications for AMI was evaluated. The use of dual antiplatelet therapy (DAPT) increased from 65% in 2004 to 83. 9% in 2008 (P<0. 001). Angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) was used in 72 V体育安卓版. 6% in 2004 and 71. 7% in 2008 (P=NS) and β-blocker was used in 60% in 2004 and 59. 7% in 2008 (P=NS). Statin use increased from 32. 1% to 50. 1% from 2004 to 2008 (P<0. 001). The in-hospital mortality decreased from 15. 9% in 1999 to 12. 3% in 2008 (P<0. 0001). Multivariable analysis showed that DAPT, ACE inhibitor/ARB, β-blocker, and statin use during hospitalization were all associated with reduced in-hospital mortality in our AMI patients. .

Conclusions: AMI incidence was increasing, but the guideline-based medications for AMI were underutilized in Taiwan. Quality improvement programs, such as GWTG, should be promoted to improve AMI care and outcomes in Taiwan. V体育ios版.

Keywords: epidemiology; incidence; myocardial infarction; population. VSports最新版本.

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Figures

Figure 1.
Figure 1.
Age‐adjusted attack rates (/100 000 person‐years) of acute myocardial infarction has increased over the last 10 years by gender.
Figure 2.
Figure 2.
Age‐adjusted incidence (/100 000 person‐years) of acute myocardial infarction has increased over the last 10 years by gender.
Figure 3.
Figure 3.
Age‐ and gender‐specific incidence of acute myocardial infarction over the last 10 years.
Figure 4.
Figure 4.
Serial changes in the age distribution of patients with acute myocardial infarction by gender: (A) male and (B) female.
Figure 5.
Figure 5.
Serial changes in the use of guideline‐based medications for acute myocardial infarction: 2004–2008. ACEI indicates angiotensin‐converting enzyme inhibitor; ARB, angiotensin receptor blocker; ASA, acetylsalicylic acid.
Figure 6.
Figure 6.
In‐hospital mortality rate of acute myocardial infarction by gender: 2004–2008.
See this image and copyright information in PMC

References

    1. O'Gara PT, Kushner FG, Ascheim DD, Casey DE, Jr, Chung MK, de Lemos JA, Ettinger SM, Fang JC, Fesmire FM, Franklin BA, Granger CB, Krumholz HM, Linderbaum JA, Morrow DA, Newby LK, Ornato JP, Ou N, Radford MJ, Tamis‐Holland JE, Tommaso JE, Tracy CM, Woo YJ, Zhao DXCF/AHA Task Force. ACCF/AHA Guideline for the Management of ST‐Elevation Myocardial Infarction: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart 7 Association Task Force on Practice Guidelines. Circulation. 2013; 127:529-555. - "V体育官网" PubMed
    1. Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE, Jr, Chavey WE, II, Fesmire FM, Hochman JS, Levin TN, Lincoff AM, Peterson ED, Theroux P, Wenger NK, Wright RS, Jneid H, Ettinger SM, Ganiats TG, Lincoff AM, Philippides GJ, Zidar JPAmerican College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. 2012 ACCF/AHA focused update incorporated into the ACCF/AHA 2007 guidelines for the management of patients with unstable angina/non‐ST‐elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013; 127:e663-e828. - "V体育2025版" PubMed
    1. Somma KA, Bhatt DL, Fonarow GC, Cannon CP, Cox M, Laskey W, Peacock WF, Hernandez AF, Peterson ED, Schwamm L, Saxon LA. Guideline adherence after ST‐segment elevation versus non‐ST segment elevation myocardial infarction. Circ Cardiovasc Qual Outcomes. 2012; 5:654-661. - PubMed
    1. Peterson ED, Shah BR, Parsons L, Pollack CV, Jr, French WJ, Canto JG, Gibson CM, Rogers WJ. Trends in quality of care for patients with acute myocardial infarction in the National Registry of Myocardial Infarction from 1990 to 2006. Am Heart J. 2008; 156:1045-1055. - PubMed
    1. Lu JF, Hsiao WC. Does universal health insurance make health care unaffordable? Lessons from Taiwan. Health Aff (Millwood). 2003; 22:77-88. - PubMed (V体育平台登录)

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