Trends in the treatment and outcomes of elderly patients with acute coronary syndrome: Results from the CZECH registries

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27283933%3A_____%2F17%3A00004722" target="_blank" >RIV/27283933:_____/17:00004722 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/18:00102945 RIV/00216208:11110/18:10370928 RIV/00216208:11120/18:43913173 RIV/00064173:_____/18:N0000137 and 2 more

Result on the web

<a href="https://api.elsevier.com/content/article/eid/1-s2.0-S0010865017300152" target="_blank" >https://api.elsevier.com/content/article/eid/1-s2.0-S0010865017300152</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.crvasa.2017.02.007" target="_blank" >10.1016/j.crvasa.2017.02.007</a>

Result language

angličtina

Original language name

Trends in the treatment and outcomes of elderly patients with acute coronary syndrome: Results from the CZECH registries

Original language description

© 2017 The Czech Society of Cardiology Background: The number of elderly patients in the population is rapidly increasing, and little is known about how adherence to recommended treatment strategies in elderly patients with acute coronary syndrome (ACS) has changed over time. Aim: To analyze trends in the treatment and outcomes of elderly patients with ACS from two registries conducted in the Czech Republic over 10 years. Methods and results: Data from the CZECH-1 and CZECH-3 registries were used in this study. These registries collected data in autumn 2005 and autumn 2015, and contain data from 1952 and 1754 unselected patients, respectively. All patients had been hospitalized with an initial diagnosis of ACS. There were 490 (25.7%) elderly patients in the CZECH-1 registry and 484 (28.1%) elderly patients in the CZECH-3 registry (p = 0.045) with an average age of 80.6 ± 4 and 82.1 ± 5 years (p < 0.001), respectively. ACS was confirmed in 345 (72%) and 352 (73.6%) elderly patients (p = 0.781), respectively. There was higher use of percutaneous coronary intervention (65.2% and 54.8%; p < 0.001), dual antiplatelet treatment, ACE inhibitors, and statins during treatment in the CZECH-3 compared to the CZECH-1 registry. No differences in hospital mortality of elderly patients with confirmed ACS were observed between registries (8.2% vs. 10.4%; p = 0.790). Conclusion: The proportion of patients with ACS that are elderly is increasing along with their increasing average age. Adherence to guideline-recommended therapy in this subgroup of patients has improved over time, but hospital mortality remains unchanged.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cor et Vasa

ISSN

0010-8650

e-ISSN

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Volume of the periodical

60

Issue of the periodical within the volume

1

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

2

Pages from-to

"e101"-"e103"

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85017356129