Coronary disease & ACS

Presentation, care, and outcomes of patients with NSTEMI according to World Bank country income classification: the ACVC-EAPCI EORP NSTEMI Registry of the European Society of Cardiology

Eur Heart J Qual Care Clin OutcomesPublished Prospective cohort study

Authors' conclusion

Patients with NSTEMI in LLMICs present with fewer comorbidities but a more advanced stage of acute disease, and have worse outcomes compared with HICs.

Study context

Population
Patients with NSTEMI from 287 centres in 59 countries
Participants
2,947 patients · 287 centres · 59 countries
Exposure
NSTEMI presentation, care and outcomes by World Bank country income classification
Outcome
In-hospital outcomes and 30-day mortality
Methodological detailsmulticentre, registry
  • Multicentre
  • Registry

Main finding

As reported in the abstract

Acute HF

Stroke/TIA

In-hospital mortality

30-day mortality

Observational data: associations, not effects.

Further findings

Invasive coronary angiography use

Care quality: ≥80% of eligible interventions achieved

Very high risk criteria for immediate invasive strategy (low to lower-middle-income countries (LLMICs))
76.7%
  • Care quality: ≥80% of eligible interventions achieved: 12 guideline-recommended care interventions

Original publication

Presentation, care, and outcomes of patients with NSTEMI according to World Bank country income classification: the ACVC-EAPCI EORP NSTEMI Registry of the European Society of Cardiology. Eur Heart J Qual Care Clin Outcomes. Published 3 February 2023. doi:10.1093/ehjqcco/qcad008

Summarised from the published abstract; every number is checked against it

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