Cardiologia Hungarica (Jul 2025)
Data on the care and prognosis of patients treated for myocardial infarction. Hungarian Myocardial Infarction Registry 2024
Abstract
The Hungarian Myocardial Infarction Registry (HUMIR) is a comprehensive database, covering 190,230 infarction events in 170,337 patients. In 2024, the National Health Insurance Fund Management Centre financed treatment for 14,555 infarctions, of which 86.3% (13,728 events) were included in the HUMIR. 46.7% of the registered events were STEMI, and 53.3% were NSTEMI diagnoses. In both types of infarction, most patients were male (64% vs. 61%). Patients treated for NSTEMI were older than those treated with a STEMI diagnosis (64.4 vs. 69.1 years). PCI was performed in 86.2% of STEMI patients and 64.7% of NSTEMI patients. The procedures were performed through radial access (95%) and almost exclusively involved the implantation of drug-eluting stents (96%). The median total ischemic time (from the onset of symptoms to the opening of the vessel) in the STEMI patient group was 4 hours and 30 minutes. In 60.2% of NSTEMI patients who underwent PCI, the procedure was performed within 24 hours. The 30-day mortality of STEMI/NSTEMI patients who underwent PCI was 10.3% and 6%, respectively. When examined by the catheterisation center, significant differences were in the frequency of PCI treatment, platelet aggregation inhibitor treatment, and 30-day mortality. The HUMIR participates in the EuroHeart program, and the research entitled Investigation of the effects of atmospheric and air pollution parameters on the development of myocardial infarction. In 2024, we created an interactive query interface on the HUMIR website, allowing external interested parties to learn about basic epidemiological data. HUMIR has continuously monitored the data on the domestic care of patients with infarction since 2014, and the program's effectiveness has been proven in domestic and international forums.
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