Changing practice pattern of acute coronary syndromes in Taiwan from 2008 to 2015

Yi-Heng Li, Yu Wei Chiu, Jun Jack Cheng, I. Chang Hsieh, Ping Han Lo, Meng Huan Lei, Kwo Chang Ueng, Fu Tien Chiang, Shih Hsien Sung, Jen Yuan Kuo, Ching Pei Chen, Wen Ter Lai, Wen Lieng Lee, Jyh Hong Chen

Research output: Contribution to journalArticle

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Abstract

Background: Patients with acute coronary syndrome (ACS), including ST segment elevation myocardial infarction (STEMI) and non-ST segment elevation (NSTE)-ACS have a significant risk of morbidity and mortality. This study evaluated the practice patterns of ACS care in Taiwan from 2005 to 2018. Methods: Data from two nationwide ACS registries (2008-2010 and 2012-2015) were used. ACS patients who received percutaneous coronary interventions (PCIs) during admission were compared between the two registries. Results: In STEMI, the door-to-balloon time for primary PCI decreased by 25 min from a median of 96 to 71 min (p < 0.0001) from the first to second registry. More complex PCI procedures and drug-eluting stents were used for ACS. However, the onset-to-door time was still long for both STEMI and NSTE-ACS. The D2B time for NSTE-ACS was long, especially in the elderly and female patients. Although the prescription rate of secondary preventive medications for ACS increased, it was still relatively low compared with Western data, especially in NSTE-ACS. Conclusions: The registry data showed that ACS care quality has improved in Taiwan. However, areas including onset-to-door time and use of secondary preventive medications still need further improvements.

Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalActa Cardiologica Sinica
Volume35
Issue number1
DOIs
Publication statusPublished - 2019 Jan 1

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Acute Coronary Syndrome
Taiwan
Registries
Percutaneous Coronary Intervention
Drug-Eluting Stents
Quality of Health Care
Prescriptions
Myocardial Infarction
Morbidity
Mortality

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Li, Yi-Heng ; Chiu, Yu Wei ; Cheng, Jun Jack ; Hsieh, I. Chang ; Lo, Ping Han ; Lei, Meng Huan ; Ueng, Kwo Chang ; Chiang, Fu Tien ; Sung, Shih Hsien ; Kuo, Jen Yuan ; Chen, Ching Pei ; Lai, Wen Ter ; Lee, Wen Lieng ; Chen, Jyh Hong. / Changing practice pattern of acute coronary syndromes in Taiwan from 2008 to 2015. In: Acta Cardiologica Sinica. 2019 ; Vol. 35, No. 1. pp. 1-10.
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abstract = "Background: Patients with acute coronary syndrome (ACS), including ST segment elevation myocardial infarction (STEMI) and non-ST segment elevation (NSTE)-ACS have a significant risk of morbidity and mortality. This study evaluated the practice patterns of ACS care in Taiwan from 2005 to 2018. Methods: Data from two nationwide ACS registries (2008-2010 and 2012-2015) were used. ACS patients who received percutaneous coronary interventions (PCIs) during admission were compared between the two registries. Results: In STEMI, the door-to-balloon time for primary PCI decreased by 25 min from a median of 96 to 71 min (p < 0.0001) from the first to second registry. More complex PCI procedures and drug-eluting stents were used for ACS. However, the onset-to-door time was still long for both STEMI and NSTE-ACS. The D2B time for NSTE-ACS was long, especially in the elderly and female patients. Although the prescription rate of secondary preventive medications for ACS increased, it was still relatively low compared with Western data, especially in NSTE-ACS. Conclusions: The registry data showed that ACS care quality has improved in Taiwan. However, areas including onset-to-door time and use of secondary preventive medications still need further improvements.",
author = "Yi-Heng Li and Chiu, {Yu Wei} and Cheng, {Jun Jack} and Hsieh, {I. Chang} and Lo, {Ping Han} and Lei, {Meng Huan} and Ueng, {Kwo Chang} and Chiang, {Fu Tien} and Sung, {Shih Hsien} and Kuo, {Jen Yuan} and Chen, {Ching Pei} and Lai, {Wen Ter} and Lee, {Wen Lieng} and Chen, {Jyh Hong}",
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Li, Y-H, Chiu, YW, Cheng, JJ, Hsieh, IC, Lo, PH, Lei, MH, Ueng, KC, Chiang, FT, Sung, SH, Kuo, JY, Chen, CP, Lai, WT, Lee, WL & Chen, JH 2019, 'Changing practice pattern of acute coronary syndromes in Taiwan from 2008 to 2015', Acta Cardiologica Sinica, vol. 35, no. 1, pp. 1-10. https://doi.org/10.6515/ACS.201901_35(1).20180716B

Changing practice pattern of acute coronary syndromes in Taiwan from 2008 to 2015. / Li, Yi-Heng; Chiu, Yu Wei; Cheng, Jun Jack; Hsieh, I. Chang; Lo, Ping Han; Lei, Meng Huan; Ueng, Kwo Chang; Chiang, Fu Tien; Sung, Shih Hsien; Kuo, Jen Yuan; Chen, Ching Pei; Lai, Wen Ter; Lee, Wen Lieng; Chen, Jyh Hong.

In: Acta Cardiologica Sinica, Vol. 35, No. 1, 01.01.2019, p. 1-10.

Research output: Contribution to journalArticle

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T1 - Changing practice pattern of acute coronary syndromes in Taiwan from 2008 to 2015

AU - Li, Yi-Heng

AU - Chiu, Yu Wei

AU - Cheng, Jun Jack

AU - Hsieh, I. Chang

AU - Lo, Ping Han

AU - Lei, Meng Huan

AU - Ueng, Kwo Chang

AU - Chiang, Fu Tien

AU - Sung, Shih Hsien

AU - Kuo, Jen Yuan

AU - Chen, Ching Pei

AU - Lai, Wen Ter

AU - Lee, Wen Lieng

AU - Chen, Jyh Hong

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Patients with acute coronary syndrome (ACS), including ST segment elevation myocardial infarction (STEMI) and non-ST segment elevation (NSTE)-ACS have a significant risk of morbidity and mortality. This study evaluated the practice patterns of ACS care in Taiwan from 2005 to 2018. Methods: Data from two nationwide ACS registries (2008-2010 and 2012-2015) were used. ACS patients who received percutaneous coronary interventions (PCIs) during admission were compared between the two registries. Results: In STEMI, the door-to-balloon time for primary PCI decreased by 25 min from a median of 96 to 71 min (p < 0.0001) from the first to second registry. More complex PCI procedures and drug-eluting stents were used for ACS. However, the onset-to-door time was still long for both STEMI and NSTE-ACS. The D2B time for NSTE-ACS was long, especially in the elderly and female patients. Although the prescription rate of secondary preventive medications for ACS increased, it was still relatively low compared with Western data, especially in NSTE-ACS. Conclusions: The registry data showed that ACS care quality has improved in Taiwan. However, areas including onset-to-door time and use of secondary preventive medications still need further improvements.

AB - Background: Patients with acute coronary syndrome (ACS), including ST segment elevation myocardial infarction (STEMI) and non-ST segment elevation (NSTE)-ACS have a significant risk of morbidity and mortality. This study evaluated the practice patterns of ACS care in Taiwan from 2005 to 2018. Methods: Data from two nationwide ACS registries (2008-2010 and 2012-2015) were used. ACS patients who received percutaneous coronary interventions (PCIs) during admission were compared between the two registries. Results: In STEMI, the door-to-balloon time for primary PCI decreased by 25 min from a median of 96 to 71 min (p < 0.0001) from the first to second registry. More complex PCI procedures and drug-eluting stents were used for ACS. However, the onset-to-door time was still long for both STEMI and NSTE-ACS. The D2B time for NSTE-ACS was long, especially in the elderly and female patients. Although the prescription rate of secondary preventive medications for ACS increased, it was still relatively low compared with Western data, especially in NSTE-ACS. Conclusions: The registry data showed that ACS care quality has improved in Taiwan. However, areas including onset-to-door time and use of secondary preventive medications still need further improvements.

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