Vol. 41 | No. 2 | July-December 2013 Back

Open Access

Philippine Heart Association-Acute Coronary Syndrome Registry- 2 Year Results

Liberty O. Yaneza, Joel M. Abanilla, Maria Teresa B. Abola, Imelda V. Caole Ang, Ma. Bridget D. Fernandez, Eleanor A. Lopez, Felix Eduardo R. Punzalan, Eugene B. Reyes
Dec 2013 DOI 10.69944/pjc.287b90b148

Abstract

BACKGROUND: An acute coronary syndrome (ACS) registry was initiated by the Philippine Heart Association and launched in November 2011, enrolling 1,939 patients for its preliminary 2-year enrollment period. 

RESULTS: Results showed that ACS occurred predominantly in males (67%), and patients had a median age of 61 years. Hypertension (77.1%), diabetes (39%) and smoking history (33.4%) were the common risk factors for ACS. A significant number of post-menopausal women (30%) suffered from ACS. Chest pain or heaviness (74.5%) was the common presenting symptom, while atypical presentation or angina equivalents and aborted sudden cardiac death occurred in 24.4% and 0.6%, respectively. Non-ST elevation myocardial infarction was the most common spectrum of ACS (49%), followed by ST elevation myocardial infarction (36%) and unstable angina (14.5%). The median time interval from symptom to emergency room was 360 minutes or 16 hours. Time from Door to Needle and Door to Balloon was 60 minutes and 180 minutes, respectively. There was good adherence (>85%) to class 1 recommended drugs, namely beta blockers, angiotensin-converting enzyme inhibitors/ angiotensin receptor blockers, statins, and dual anti-platelet therapy. There was low adherence to discharge lifestyle counseling and referral to cardiac rehabilitation program. The mortality and bleeding rates were 7.8% and 1.15%, respectively. 

KEYWORDS: Acute Coronary Syndrome, Unstable Angina, Non ST Elevation Myocardial Infarction, ST Elevation Myocardial Infarction.

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