Data on the care and prognosis of patients treated for myocardial infarction. Hungarian Myocardial Infarction. Registry 2023

Abstract

The annual report of the Hungarian Myocardial Infarction Registry (HUMIR) is traditionally published in Cardiologia Hungarica. In 2023, we registered 13,451 myocardial infarction (MI) events (STEMI 47.6%, NSTEMI 52.4%), which is 88.5% of all financed treatments. Primary percutaneous intervention (PCI) was used during revascularization in 85.6% of STEMI and 63,4% of NSTEMI patients. Coin opening the vessel was still too late. In STEMI patients: the median total ischemic time (the time elapsed between the onset of the complaint and the opening of the vessel) was 265 minutes. In 45.8% of the patients, revascularization took place within 4 hours, and in every tenth patient (10.6%), it took 24 hours or more until the vessel was opened. In NSTEMI infarction, 61% of patients underwent PCI within 24 hours. Cardiac catheterization was performed almost exclusively by radial way (94.5% and 95.8%). Almost exclusively drug eluting stents were used (94.2%, 92.8%) During hospitalization, almost all patients received drug treatment important from the point of view of secondary prevention, and were given a recommendation to continue it. After the acute phase 10.9% of STEMI patients and 5.8% of NSTEMI patients were admitted to a rehabilitation institution. The 30-day mortality of STEMI patients was 14.7%, and 11.6% if primary PCI was performed. 10.1% and 6.7% respectively in NSTEMI patients. We analyzed the frequency of use of coronary angiography, PCI, and 30-day mortality by center. The comparison confirmed significant differences for all factors examined, therefore further investigation is warranted.

Keywords

• hungarian myocardial infarction registry
• 2023
• report