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  1. Epidemiology of post-infarction risk stratification strategies in a country with a low volume of revascularization procedures : The GISSI Prognosis Registry.

    Article - En anglais

    Aims The aims of the GISSI Prognosis Registry were to describe the diagnostic strategies initiated in acute myocardial infarction patients by a representative sample of Italian cardiological centres, and to determine which clinical or hospital characteristics were associated with the initiation of invasive diagnostic or therapeutic procedures.

    Methods and Results Baseline characteristics, major in-hospital events and the indication and results of invasive and non-invasive procedures were collected on 1489 acute myocardial infarction patients discharged alive from 65 Italian cardiological centres over a period of 3 months.

    Twenty-five percent of centres had on site catheterization laboratories while the rest did not.

    Statistical significance was analysed by chi-square tests for categorical variables.

    A two-sample Student t-test was used to compare continuous variables.

    The adjusted analysis was performed utilizing multiple logistic regression models.

    The most performed procedures were standard, non-invasive : 57.8% of the patients underwent an exercise stress test. 70.8% ambulatory ECG monitoring and 95.6% two-dimensional echocardiography.

    Nuclear or echocardiographic imaging tests were performed in 40% of acute myocardial infarction survivors.

    Overall, coronary angiography was planned in 549 patients (36.9%). (...)

    Mots-clés Pascal : Infarctus, Myocarde, Homme, Pronostic, Pratique professionnelle, Critère décision, Conduite à tenir, Diagnostic, Traitement, Prescription médicale, Méthode analyse, Analyse risque, Italie, Europe, Technique, Exploration, Appareil circulatoire pathologie, Cardiopathie coronaire, Myocarde pathologie

    Mots-clés Pascal anglais : Infarct, Myocardium, Human, Prognosis, Professional practice, Decision criterion, Clinical management, Diagnosis, Treatment, Medical prescription, Analysis method, Risk analysis, Italy, Europe, Technique, Exploration, Cardiovascular disease, Coronary heart disease, Myocardial disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0049714

    Code Inist : 002B12A03. Création : 31/05/1999.