Jortveit Jarle, Govatsmark Ragna Elise Støre, Digre Tormod Aarlott, Risøe Cecilie, Hole Torstein, Mannsverk Jan, Slørdahl Stig Arild, Halvorsen Sigrun
Kardiologisk avdeling Hjerteseksjonen Medisinsk avdeling Sørlandet sykehus Arendal.
Kardiologisk avdeling Norsk hjerteinfarktregister St. Olavs hospital.
Tidsskr Nor Laegeforen. 2014 Oct 14;134(19):1841-6. doi: 10.4045/tidsskr.14.0804.
The Norwegian Myocardial Infarction Registry was established in 2012 as a national quality registry. This first report from the registry presents the number of myocardial infarctions, the treatment provided and the 30-day mortality rate for myocardial infarctions admitted to Norwegian hospitals.
All patients with myocardial infarction admitted to Norwegian hospitals in 2013 and recorded in the Norwegian Myocardial Infarction Registry are included. The number of myocardial infarctions, patient characteristics and their treatment are indicated for myocardial infarctions with and without ST-segment elevation on ECG (STEMI and nSTEMI). The 30-day mortality is calculated for each health region.
In 2013, a total of 13,043 myocardial infarctions in 12,336 patients were recorded in the Norwegian Myocardial Infarction Registry. Altogether 3,658 (28%) of the infarctions were classified as STEMI and 9,188 (70%) as nSTEMI. The average age at the time of the infarction was 68.1 years for men and 75.9 years for women. Percutaneous coronary intervention was performed for a total of 2,798 (77%) ST-segment elevation myocardial infarctions, whereas the corresponding number for nSTEMI was 3,179 (35%). The 30-day mortality in the entire infarction population was 10% (< 60 years: 2%, 60-69 years: 4%, 70-79 years: 9%, ≥ 80 years: 20%). We found no differences in mortality between health regions or between men and women.
This first report from the Norwegian Myocardial Infarction Registry shows that the treatment service is functioning well for most patients. Secondary prophylaxis using drug therapy and increased use of invasive examination of patients with nSTEMI appear to be areas for improvement.
挪威心肌梗死登记处成立于2012年，是一个全国性的质量登记处。该登记处的首份报告展示了挪威医院收治的心肌梗死病例数、所提供的治疗以及心肌梗死患者的30天死亡率。
纳入2013年挪威医院收治并记录在挪威心肌梗死登记处的所有心肌梗死患者。记录有ST段抬高和无ST段抬高心电图表现的心肌梗死（ST段抬高型心肌梗死和非ST段抬高型心肌梗死）的心肌梗死病例数、患者特征及其治疗情况。计算每个健康区域的30天死亡率。
2013年，挪威心肌梗死登记处共记录了12336例患者的13043例心肌梗死病例。其中，3658例（28%）梗死被分类为ST段抬高型心肌梗死，9188例（70%）为非ST段抬高型心肌梗死。梗死发生时男性的平均年龄为68.1岁，女性为75.9岁。共对2798例（77%）ST段抬高型心肌梗死患者进行了经皮冠状动脉介入治疗，而非ST段抬高型心肌梗死患者的相应治疗例数为3179例（35%）。整个梗死人群的30天死亡率为10%（<60岁：2%，60 - 69岁：4%，70 - 79岁：9%，≥80岁：20%）。我们发现健康区域之间以及男性和女性之间在死亡率上没有差异。
挪威心肌梗死登记处的这份首份报告表明，治疗服务对大多数患者运作良好。使用药物进行二级预防以及增加对非ST段抬高型心肌梗死患者的侵入性检查似乎是有待改进的领域。
