Abstract 3467: Comparison of Invasive Procedures and Medical Treatment in Patients with non-ST-segment Elevation Myocardial Infarction with Initial Admission to Hospitals with and without Catheterization Laboratory. Results from the German ACOS Registry
Aim: The aim of this analysis was to evaluate adherence to guideline recommended therapies and the rate of invasive and revascularization procedures in patients with NSTEMI initially admitted to hospitals with and without catheterization laboratory in clinical practice.
Methods: Between 07/2000 and 12/2002 16817 patients with an acute coronary syndrome from 154 hospitals have been included in the ACOS registry. 6358 of these patients presented with non-ST-segment elevation myocardial infarction. 4858 patients (76,4%) were initially admitted to a hospital with catheterization laboratory, 1500 (23,6%) in a hospital without catheterization laboratory.
Conclusions: In clinical practice patients with NSTEMI admitted to hospitals with catheterization laboratory are treated with significantly higher rates of guideline recommended therapies. This is associated with a lower in-hospital- and 1-year-mortality.