Cardiologia Croatica, Vol. 11 No. 8, 2016.
Pregledni rad
https://doi.org/10.15836/ccar2016.307
Acute Coronary Syndrome in Croatia.
Zdravko Babić
orcid.org/0000-0002-7060-8375
; Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Marin Pavlov
; Klinički bolnički centar Sestre milosrdnice, Zagreb, Hrvatska
Sažetak
In the field of acute coronary syndrome management by the methods of interventional cardiology (percutaneous coronary intervention, PCI), Croatian medicine has closely followed international results in spite of the relatively low investments in the Croatian healthcare system as compared with industrialized countries. Since the establishment of the Croatian Primary Percutaneous Coronary Intervention Network, i.e. in the last decade, more than 15,000 patients with acute myocardial infarction with ST-segment elevation (STEMI) were treated with PCI; the same treatment protocol has also been applied in other patients with unstable acute coronary syndrome. In recent years, the network has managed 540-550 patients with acute STEMI per million inhabitants, with each of the eleven PCI centers providing care for more than 384,000 catchment population through 24/7 work schedule. The trends observed in the past decade show the risk profile of these patients to increase, while maintaining the results of treatment at the levels comparable to those reported from similar PCI networks (postprocedural TIMI III flow up to 91% and in-hospital mortality ranging from 4.4% to 6.3%). Future plans include development of a continuous prospective electronic Registry of Invasive and Interventional Cardiology and Acute Coronary Syndrome, further reduction of reperfusion time, increasing introduction of optimal medication and materials in the treatment of these patients, and optimization of treatment of acute myocardial infarction without ST-segment elevation all over the Croatia.
Ključne riječi
acute coronary syndrome; interventional cardiology; Croatia
Hrčak ID:
161839
URI
Datum izdavanja:
14.7.2016.
Posjeta: 1.929 *