The use of revascularization strategies in patients with acute coronary syndromes admitted to hospitals without catheterization facilities: Results from the ALERT-CZ registry
Abstract
Percutaneous coronary intervention (PCI) became the standard of care for patients (pts) with acute coronary syndromes (ACS). Czech Republic is among European countries with well developed networks of PCI and non-PCI hospitals.
Ample data about PCI-treated pts is available from many registries. Much less is known about treatments and outcomes of ACS pts admitted to hospitals without cath-lab.
ALERT-CZ registry was designed specifically to analyze these pts presenting to local non-PCI hospitals. The aim was to see, whether the ESC guidelines are implemented in these local, small hospitals.
Patients presenting to non-PCI hospitals undergo revascularization procedures less frequently than those directly admitted to PCI centers. This may be related to baseline differences.
The outcomes are influenced by these facts.