| Title: |
Outcomes for working age patients after first-time acute coronary syndrome - ANZACS-QI 35. |
| Authors: |
Earle, Nikki J; Poppe, Katrina K; Rolleston, Anna; Devlin, Gerard; Kerr, Andrew J; Legget, Malcolm E; Doughty, Robert N |
| Publisher Information: |
Elsevier |
| Publication Year: |
2024 |
| Collection: |
University of Auckland Research Repository - ResearchSpace |
| Subject Terms: |
Humans; Coronary Angiography; Registries; Aged; New Zealand; Female; Male; Acute Coronary Syndrome; Quality Improvement; Acute coronary syndromes; clinical outcomes; premature coronary disease; 32 Biomedical and Clinical Sciences; 3202 Clinical Sciences; Heart Disease; Atherosclerosis; Cardiovascular; Clinical Research; Heart Disease - Coronary Heart Disease; 6 Evaluation of treatments and therapeutic interventions; 6.1 Pharmaceuticals; Science & Technology; Life Sciences & Biomedicine; Cardiac & Cardiovascular Systems; Cardiovascular System & Cardiology; 1102 Cardiorespiratory Medicine and Haematology; 1117 Public Health and Health Services; 3201 Cardiovascular medicine and haematology |
| Subject Geographic: |
Netherlands |
| Description: |
Background Acute coronary syndrome (ACS) events and the ongoing burden of disease can have a significant impact on the subsequent life-course of working age people. Methods We report 12-month clinical outcomes for 10,822 patients hospitalized with first-time ACS between 2015-2016 and enrolled in the All New Zealand Acute Coronary Syndrome Quality Improvement (ANZACS-QI) registry, with a focus on people of working age (defined as 65 years, these patients had a high burden of cardiovascular risk factors, and were more likely to be male (75% vs 60%), to be of non-European ethnicity (36% vs 15%), and to be living in areas of high deprivation. Subsequent clinical events were common in the younger patients, with 15% dying or being readmitted for cardiovascular causes within 12 months despite high rates of angiography (96%), revascularization (74%) and evidence-based medical therapy at the time of the index ACS event. Conclusions The high risk factor burden and subsequent high rate of clinical events in working age patients reinforces the need for a longer-term focus on strategies to improve clinical outcomes following first-time ACS. |
| Document Type: |
article in journal/newspaper |
| File Description: |
Print-Electronic; application/pdf |
| Language: |
English |
| ISSN: |
0167-5273; 1874-1754 |
| Relation: |
International journal of cardiology; (2021). International Journal of Cardiology, 328, 55-58.; https://hdl.handle.net/2292/68276; 33278419 (pubmed); S0167-5273(20)34229-7 |
| DOI: |
10.1016/j.ijcard.2020.11.060 |
| Availability: |
https://hdl.handle.net/2292/68276; https://doi.org/10.1016/j.ijcard.2020.11.060 |
| Rights: |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. ; https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm ; Copyright: Elsevier B.V. ; http://purl.org/eprint/accessRights/RetrictedAccess |
| Accession Number: |
edsbas.93DA5EE1 |
| Database: |
BASE |