[Epidemiology of XXXX in the City of Zagreb].

@entity1 @entity1187 @entity1289 @entity301 @entity117 @entity1459 @entity65
AIM: Amongst @entity65 ( @entity65 ), @entity1187 ( @entity1187 ) is an important cause of @entity65 . The aim of the study was to examine @entity1187 in Zagreb, to determine how it is treated, and to assess the extent to which new guidelines have been implemented in daily practice. During the last decades, great improvements have been made in the prevention and management of @entity1187 . We wished to ascertain how these improvements have been implemented in our hospitals in the year 2003. METHODS: We carried out a retrospective study including @entity1 in the City of Zagreb that had been discharged from the hospital with the diagnosis of @entity1187 . The community-based Registry of Acute @entity301 for the City of Zagreb for the year 2003 served as the source of data. Records on 1,733 @entity1187 @entity1 were analyzed. In 1,349 hospitalized @entity1 , the following parameters were investigated: length of hospital stay; time from onset of symptoms to arrival in hospital; rate of angiography and reperfusion and medical therapy after discharge. RESULTS: Study results showed that 1,105 (64%) @entity1 were discharged from hospital, 244 (14%) died in hospital, and 384 (22%) died outside hospital. There were 1,136 (84%) @entity1 with AMI, 638 (56%) with ST segment elevation MI, 391 (34%) with non-ST segment elevation MI and 107 (10%) of @entity1 with possible MI and MI with undetermined ECG. @entity1 records revealed that 688 (51%) stayed in hospital between 8 and 14 days. The time from symptom onset to hospital arrival was less than 6 hours in 566 @entity1 , 349 (44%) @entity1 and 217 (39%) @entity1 ; 6 to 12 hours in 157 @entity1 , 79 (10%) @entity1 and 78 (14%) @entity1 ; and over 12 hours in 410 @entity1 , 238 (30%) @entity1 and 172 (31%) @entity1 . The time of symptom onset was unknown in 216 @entity1 , 127 (16%) @entity1 and 89 (16%) @entity1 . Angiography and reperfusion therapy were performed in 557 (41%) @entity1 , 373 (47%) @entity1 , and 184 (33%) @entity1 ; PCI/PCI + stent in 33% of @entity1 with ST or non-ST segment elevation, and 25% of @entity1 with ST segment elevation and 19% of @entity1 with non-ST segment elevation. Fibrinolytic therapy was performed in 86 @entity1 , 53 (7%) @entity1 and 30 (5%) @entity1 . Amongst @entity1187 @entity1 (N=966), 85% took @entity117 , 70% beta-blockers, 69% @entity1289 inhibitors and 63% statins. DISCUSSION AND CONCLUSION: Compared to other studies, non-ST segment elevation MI and @entity1459 seemed to be less often diagnosed. @entity1 arrived in hospital rather late after symptom onset, and this was probably one of the reasons that reperfusion therapy could not be sufficiently applied. We also noted that physicians did not always follow the generally accepted guidelines to enable a better outcome by use of preventative measures and higher rate of effective therapy. There are important lessons to be learnt from this study for both @entity1 and physicians.
