The Taiwan Heart Registries: Its Influence on Cardiovascular Patient Care

Cho Kai Wu, Jyh Ming Jimmy Juang, Jiun Yang Chiang, Yi Heng Li, Chia Ti Tsai, Fu Tien Chiang

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)

Abstract

Taiwanese heart registries for the main cardiovascular diseases have been conducted in the past 10 years, with the goal of examining the quality of cardiovascular patient care, which cannot be guaranteed by the universal Taiwan National Health Insurance. The results show suboptimal adherence to guideline recommendations. Door-to-balloon time and dual antiplatelet therapy use in acute coronary syndrome, standard medications for management of heart failure, low-density lipoprotein cholesterol levels in dyslipidemia, anticoagulant agent use in atrial fibrillation, and the understanding of sudden arrhythmia death syndrome were all found to be inadequate. However, all were improved, either by changing National Health Insurance policy or through continuous education for physicians and patients. Thus, specific cardiovascular disease registries could help examine the status of real-world practice, find inadequacies in guideline implementation and understanding of rare diseases, facilitate lobbying to policy makers and education for physicians and patients, and influence and improve cardiovascular patient care.

Original languageEnglish
Pages (from-to)1273-1283
Number of pages11
JournalJournal of the American College of Cardiology
Volume71
Issue number11
DOIs
Publication statusPublished - 2018 Mar 20

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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