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NCVD-ACS REGISTRY
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
NCVD-ACS Registry: Annual Report2006Published by: Clinical Research Centre, Ministry of Health Malaysia
Suggested citation:W.A. Wan Ahmad. K.H. Sim (Eds.). Annual Report of the NCVD-ACS Registry 2006. Kuala Lumpur. 2008
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Chapter 1: Provision of Acute Coronary Care
Services in Malaysia
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
• In 2006, there are 73 coronary care units (CCU) in Malaysia
• The incidence of ACS admission was therefore 47.1 per 100,000 population in 2006
• The estimate of the incidence of coronary heart disease (CHD) in Malaysia is 141 per 100,000 population
• Over 4000 ACS being denied admission into its CCU in 2006. It has 30% shortfall in CCU beds
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
CCU CardiologistCCU
nursesCath. Lab
Cardiac surgical service
ACS admission
N(%) N(%) N(%) N(%) N(%) N(%)
Malaysia 73(100) 163(100) 559(100) 36(100) 27(100) 12,534(100)
By Sector
Private 32(44) 81(50) 176(31) 28(78) 20(74) 3,398(27)
MOH 37(51) 37(23) 305(55) 4(11) 4(15) 7,580(60)
IJN 1(1) 27(17) 13(2) 1(3) 1(4) 335(3)
University 3(4) 17(10) 65(12) 3(8) 2(7) 1,221(10)
Acute Coronary/ Cardiac Care Services and Admissions in Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Current CCU beds
Bed occupanc
y rate
Use forall acute
Use for ACS
Use fornon
cardiac
ACS denied
*RBS if non cardiac
excluded
N(%) % % % %% of all
ACS(% shortfall)
Malaysia 414(100) 89 65 40 35
Sectors
Private 214(52) 83 51 27 49 48 132
MOH 169(41) 93 77 49 23 62 89
IJN 12(3) 83 36 26 64 53 171
University 19(5) 104 76 58 24 14 119
Utilization of Acute Coronary / Cardiac Services in Malaysia 2006
*RBS – Required bed strength
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Utilization of Acute Coronary / Cardiac Services by Sectors in Malaysia 2006
52
41
3 5
83
93
83
104
27
49
26
58
48
6253
14
132
89
171
119
0
20
40
60
80
100
120
140
160
180
Private MOH IJN UniversitySDP
Per
cen
tag
e (%
)
Current bed Bed occup. rateUse for ACS ACS deniedRBS if non cardiac excluded
*RBS – Required bed strength
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Cardiac Care provided for ACS in Malaysia 2006
ACS admits
Thrombolytic
Angiogram
PCI CABG
% % % % %
Malaysia 100 38 33 20 7
Sector
Private 27 25 64 43 16
MOH 60 44 19 11 3
IJN 3 59 77 40 12
University 10 30 27 11 2
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
050
100
150
200
250
PCI pmp
010
020
030
040
0
Coronary Angiogram pmp
0 2 4 6 8 10 12 14 16 18 20
Cardiologist pmp
Coronary Angiogram pmp PCI pmp
Distribution of Cardiologist per million populations (pmp) by state
Relationship between availability of cardiologist and provision of emergency Coronary angiogram and Percutaneous Coronary Intervention (PCI) for patients admitted with ACS
in Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Sample Size = 3422 patientsregistered in year 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
SGH
SAH
PH
*NHI*UMMC*KLH
NCVD-ACS Registry Participating Sites in 2006
RPZ II HTFH SBH
TJH
TAAH
TFH Tuanku Fauziah Hospital
SBH Sultanah Bahiyah Hospital
PH Penang Hospital
NHI National Heart Institute
UMMC University Malaya Medical Centre
KLH Kuala Lumpur Hospital
TJH Tuanku Ja’afar Hospital
SAH Sultanah Aminah Hospital
RPZ II H Raja Perempuan Zainab II Hospital
TAAH Tengku Ampuan Afzan Hospital
SGH Sarawak General Hospital
Chapter 2: Patient Characteristics
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Age group, no. % (N = 3422)
20 - <30 23 (1)
30 - <40 143 (4)
40 - <50 621 (18)
50 - <60 1054 (31)
60 - <70 881 (26)
70 - <80 571 (17)
80 129 (4)
Age Group for patient with ACS, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Age Group for patient with ACS, Malaysia 2006
14
18
31
26
17
4
0
5
10
15
20
25
30
35 20 - <3030 - <4040 - <5050 - <6060 - <7070 - <80>80
Age Group
% o
f p
atie
nts
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Gender, no. % (N=3422)
Male 2569(75)
Female 853 (25)
Gender distribution for patients with ACS, Malaysia 2006
75%
25%
MaleFemale
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Ethnic group distribution for patients with ACS,
Malaysia 2006 Ethnic group, no. % (N= 3422)
Malay 1684 (49)
Chinese 786 (23)
Indian 799 (23)
Orang Asli 0 (0)
Kadazan 2 (0)
Melanau 0 (0)
Murut 0 (0)
Bajau 1 (0)
Bidayuh 28 (1)
Iban 48 (1)
Other Malaysian 37 (1)
Foreigner 37 (1)
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
49.2
23.0 23.3
1.4 1.1 1.1 0.8 0.1 0.0 0.0 0.0 0.00
10
20
30
40
50
60
Malay
ChineseIndian
Iban
Other Malaysia
n
Foreigner
Bidayuh
Kadazan
MelanauMurut
Bajau
Orang Asli
Ethnicity
% o
f pa
tien
tsEthnic group distribution for patients with ACS, Malaysia
2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Other Coronary Risk Factors (N=4332) %
Smoking 40
Family history of premature cardiovascular disease 12
BMI > 23kgm-2
Mean, SD75
25.8 (4.4)
Other Coronary Risk Factors for patients with ACS, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Other Coronary Risk Factors for patients with ACS, Malaysia 2006
40
12
75
0
10
20
30
40
50
60
70
80
% o
f p
atie
nts
Smoking Family history ofpremature cardiovascular
disease
BMI > 23kgm-2
Risk Factors
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Co-morbidities (N=3422) %
Dyslipidaemia 33
Hypertension 61
Diabetes 44
Myocardial infarction history 16
Documented CAD > 50% stenosis 15
Chronic angina (onset>2 weeks ago) 15
New onset angina <2 weeks) 45
Coronary artery disease* 64
*Coronary artery disease is defined as “Yes” on any of the following co-morbidities: 1) History of myocardial infarction, 2) Documented CAD >50% stenosis, 3) Chronic angina (onset more than 2 weeks ago), 4) New onset angina (less than 2 weeks).
Note: Percentage is to the nearest decimal point.
Co-morbidities of patients with ACS,
Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Co-morbidities for Patients with ACS, Malaysia 2006 (N=3422)
33
61
44
16 15 15
45
64
0
10
20
30
40
50
60
70
Dyslipidaemia Hypertension Diabetes Myocardialinfarction
history
DocumentedCAD > 50%
stenosis
Chronicangina
(onset>2weeks ago)
New onsetangina <2weeks)
Coronaryartery
disease*
Co-morbidity for Patients with ACS
% o
f P
atie
nts
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Age group Male Female
20 - <30 1 0
30 - <40 5 1
40 - <50 21 9
50 - <60 35 19
60 - <70 24 31
70 - <80 12 31
80 3 8
Age-gender distribution for patients with ACS,
Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Age-gender Distribution for Patients with ACS, Malaysia 2006
15
21
35
24
12
30 1
9
19
31 31
8
0
5
10
15
20
25
30
35
40
20 - <30 30 - <40 40 - <50 50 - <60 60 - <70 70 - <80 ³80
Age Group (Years)
% o
f pa
tien
ts
Male
Female
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Chapter 3: Clinical Presentation and Investigation
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Cardiac Presentations of Patients with ACS
by ACS Stratum, Malaysia 2006 STEMI NSTEMI UA
N=1445 N=1132 N=845
Systolic blood pressure, mmHg
N 1428 1116 836
Mean, SD 134 (28) 145 (30) 146 (28)
Median, (min, max) 130 (60, 230) 142 (66, 230) 142 (60, 224)
Diastolic blood pressure, mmHg
N 1402 1087 823
Mean, SD 80 (17) 82 (17) 82 (15)
Median, (min, max) 80 (26, 120) 82 (19, 120) 82 (34, 120)
Heart rate at presentation, beats/min
N 1434 1122 838
Mean, SD 82 (21) 86 (23) 81 (19)
Median, (min, max) 80 (30, 180) 84 (29, 180) 79 (40, 166)
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Kilip Classification Code for Patients with ACS by ACS Stratum, Malaysia 2006
16
5
4
20
56
29
3
7
18
43
42
0
2
12
45
0 10 20 30 40 50 60
IV
III
II
I
% o
f pat
ient
s
Kilip Classification Code
UA
NSTEMI
STEMI
Not Stated/ Inadequately
described
Cardiac Presentations of Patients with ACS by ACS Stratum, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
STEMI (N=1445) NSTEMI (N=1132)Patients with any cardiac marker done, no. % 1402 (97) 1114 (98)Peak CK-MB, Unit/L, no. % 801 874
>25 681 (85) 457 (52)Peak CK, Unit/L, no. % 1325 970
>2x reference upper limits 999 (75) 364 (38)Peak TnT, no. % 183 446
Positive or >0.01 181 (99) 436 (98)Peak TnI, no. % 58 167
Positive or > reference upper limit/0.04 54 (93) 156 (93)
Cardiac Biomarkers Done for Patients with
ACS by ACS Stratum, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
* The denominators are based on STEMI, N=1445 and NSTEMI, N= 1132.
Cardiac Markers Done for ACS Patients by ACS Stratum*, Malaysia 2006
8575
99 93
5238
98 93
0
20
40
60
80
100
120
Peak CK-MB Peak CK Peak T n T Peak T n I
Cardiac Markers Done
% o
f p
atie
nts
STEMI
NSTEMI
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Acute coronary syndrome
stratum, no. %
Age group* Young Middle-
ageElderly
N=166 N=1675 N=1581
STEMI 113 (68) 803 (48) 529 (33)NSTEMI 28 (17) 469 (28) 635 (40)
UA 25 (15) 403 (24) 417 (26)
ACS Stratum for Patients with ACS by Age Group,
Malaysia 2006
*Young is defined as age from 20 to less than 40 years, middle-age is defined as age between 40 to less than 60 years and elderly is defined as 60 years and above
Note: Percentage is to the nearest decimal point.
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
ACS Stratum of patients with ACS by age group, Malaysia 2006
68
48
33
17
28
40
15
24 26
0
10
20
30
40
50
60
70
80
Young Middle-age Elderly
Age Group (Years)
% o
f pati
ents
STEMI
NSTEMI
UA
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Cardiac presentation of patients with ACS by gender, Malaysia 2006
Acute Coronary Syndrome Stratum,No. (%)
Male Female
N=2569 N=853
STEMI1230 (48) 215 (25)
NSTEMI779 (30) 353 (41)
UA560 (22) 285 (33)
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
ACS Stratum by gender, Malaysia 2006
48
30
2225
33
41
0
10
20
30
40
50
60
STEMI NSTEMI UA
ACS Stratum
% o
f p
atie
nts
Male
Female
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Chapter 4:
Treatment
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Summary of treatments for patients with ACS by ACS stratum, Malaysia 2006
No. (%) STEMI NSTEMI UA
N=1445 N=1132 N=845
Total admission days* N 1420 1104 830Mean, SD 6 (3) 6 (4) 5 (4)Median, (min, max) 5 (1,28) 5 (1,30) 4 (1,29)
Number of days on CCU N 1093 450 140Mean, SD 3 (3) 4 (3) 3 (3)Median, (min, max) 3 (1,26) 3 (1,24) 2 (1,20)
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Fibrinolytic Therapy for ACS Patients with STEMI, Malaysia 2006
Fibrinolytic therapy for STEMI (N=1445) No . (%)Given 1018 (70)Not given 427 (30)
30 %
70 %
GivenNot given
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Reasons Fibrinolytic Therapy Not Given to ACS Patients (N=1445) No. (%)Proceeded directly to primary angioplasty
117 (8)Contraindicated 70 (5)Missed thrombolysis 193 (13)Others* 47 (3)
*Not given–Others includes missing and refusalNote: Percentage is to the nearest decimal point.
Reasons Fibrinolytic Therapy Not Given to Patients with STEMI, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
*Not given–Others includes missing and refusalNote: Percentage is to the nearest decimal point.
Reasons not given Fibrinolytic Therapy for ACS Patients with STEMI, Malaysia 2006
0.0
10.0
20.0
30.0
40.0
50.0
Proceeded directly toprimary angioplasty
Contraindicated Missed thrombolysis Others*
Reasons
Per
cent
age
(%)
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Cardiac catheterization, no. % STEMI
(N=1445)NSTEMI (N=1132)
UA (N=845)
Yes298 (21) 251 (22) 106 (13)
No1106 (77) 858 (76) 727 (86)
Transferred to another centre 39 (3) 23 (2) 12 (1)
Cardiac Catheterization for Patients with ACS by ACS Stratum, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Cardiac Catheterization for Patients with ACS by ACS Stratum, Malaysia 2006
22
13
77 76
86
3 2 1
21
0
10
20
30
40
50
60
70
80
90
100
STEMI (N=1445) NSTEMI (N=1132) UA (N=845)
ACS Stratum
Per
cen
tage
(%
)
Yes
No
Transferred toanother centre
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Percutaneous coronary intervention, no. % STEMI
(N=1445)NSTEMI (N=1132) UA (N=845)
Yes308 (21) 162 (14) 80 (9)
No1137 (79) 970 (86) 765 (91)
Percutaneous Coronary Intervention, for Patients with ACS by ACS Stratum, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Percutaneous Coronary Intervention, for Patients with ACS by ACS Stratum, Malaysia 2006
2114
9
7986
91
0
10
20
30
40
50
60
70
80
90
100
STEMI NSTEMI UA
AC S S tratum
% o
f pati
ents
YesNo
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
CABG, no. % STEMI (N=1445)
NSTEMI (N=1132)
UA (N=845)
Yes 10 (1) 42 (4) 15 (2)No
1435 (99) 1090 (96) 830 (98)
CABG for Patients with ACS by ACS Stratum,
Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Chapter 5:
Outcomes
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall outcomeOutcome In-hospital 30-day* No. % No. %Discharged / Alive 3186 93 2302 67Died 229 7 288 8Lost to follow-up NA NA 832 24Missing 7 0 0 0
*Including patients who died in-hospitalNote: Percentage is to the nearest decimal point.
Overall Outcomes for Patients with ACS, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall In-hospital and 30-day Outcomes for Patients with ACS, Malaysia 2006
93
7
67
8
24
0
10
20
30
40
50
60
70
80
90
100
Discharged / Alive Died Lost to follow-up
Outcome
% o
f p
atie
nts
In-hospital30-day
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Outcome In-hospital 30-day*STEMI NSTEMI UA STEMI NSTEMI UA
No. % No. % No. % No. % No. % No. %Discharged /Alive 1312 91
1056 93 818 97 939 65 796 70 567 67
Died 129 9 75 7 25 3 158 11 92 8 38 4Lost to follow-up NA NA NA NA NA NA 348 24 244 22 240 28Missing 4 0 1 0 2 0 0 0 0 0 0 0
•*Including patients who died in-hospital.Note: Percentage is to the nearest decimal point.
Overall outcomes for patients with ACS by ACS stratum, Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall In-Hospital Outcomes for Patients with ACS by ACS Stratum,
Malaysia 2006
91
90
703 0
93 97
0
20
40
60
80
100
120
Discharged /Alive
Died Lost to follow-up
Missing
Outcome
Per
cen
tag
e (%
)
STEMI
NSTEMI
UA
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall Outcome after 30 Days Follow Up for Patients with ACS by ACS Stratum, Malaysia 2006
65
11
24
0
70
8
22
0
67
4
28
00
10
20
30
40
50
60
70
80
Discharged / Alive Died Lost to follow-up Missing
Outcome
Perc
enta
ge (%
)
STEMI
NSTEMI
UA
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall outcomes for patients with STEMI by fibrinolytic therapy, Malaysia 2006
Outcome In-hospital 30-day*Fibrinolytic therapy Fibrinolytic therapyYes No Yes No
No. % No. % No. % No. %Discharged / Alive 940 92 372 87 686 67 253 59Died 74 7 55 13 90 9 68 16Lost to follow-up NA NA NA NA 242 24 106 25Missing 4 0 0 0 0 0 0 0
*Including patients who died in-hospital.Note: Percentage is to the nearest decimal point.
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
In-hospital Outcomes for Patients with ACS with STEMI by Fibrinolytic Therapy, Malaysia 2006
92
70
87
13
00
10
20
30
40
50
60
70
80
90
100
Discharged /Alive
Died Lost to follow-up
Missing
Outcome
Per
cen
tag
e (%
)
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Outcomes at 30 Days Follow up for Patients with ACS with STEMI by Fibrinolytic Therapy,
Malaysia 2006
67
9
24
0
59
16
25
00
10
20
30
40
50
60
70
80
Discharged /Alive
Died Lost to follow-up
Missing
Outcome
Percen
tag
e (
%)
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall outcomes for patients with STEMI by Percutaneous Coronary Intervention, Malaysia 2006
Outcome In-hospital 30-day*
Percutaneous coronary intervention Percutaneous coronary intervention
Yes No Yes No
No. % No. % No. % No. %
Discharged / Alive 283 92 1029 91 242 79 697 61Died 25 8 104 9 34 11 124 11Lost to follow-up NA NA NA NA 32 10 316 28Missing 0 0 4 0 0 0 0 0
*Including patients who died in-hospital.Notes: 1. Percentage is to the nearest decimal point.2. Percutaneous Coronary Intervention includes primary, rescue and facilitated intervention
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
In-hospital Outcomes for Patients with STEMI by Percutaneous Coronary Intervention at admission,
Malaysia 200692
80
91
90
0102030405060708090
100
Discharged / Alive Died Lost to follow-up Missing
In-hospital Outcomes for STEMI Patients
% o
f P
atie
nts
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
30-Day Outcomes for Patients with STEMI by Percutaneous Coronary Intervention at admission, Malaysia 2006
79
11 10
0
61
11
28
00
10
20
30
40
50
60
70
80
90
Discharged / Alive Died Lost to follow-up Missing
30-Day Outcomes for STEMI Patients
% o
f P
atie
nts
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
CABG, no. % STEMI (N=1445)
NSTEMI (N=1132)
UA
(N=845)
Yes 10 (1) 42 (4) 15 (2)
No 1435 (99) 1090 (96) 830 (98)
CABG for Patients with ACS by ACS Stratum,
Malaysia 2006
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
CABG for Patients with ACS by ACS Stratum, Malaysia 2006
14 2
9996 98
0
20
40
60
80
100
120
STEMI NSTEMI UA
ACS Stratum
% o
f p
atie
nts
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall outcomes for patients with STEMI by pre-admission aspirin use, Malaysia 2006
Outcome In-hospital 30-day*
Pre-admission aspirin use Pre-admission aspirin use
Yes No Unknown Yes No Unknown
No. % No. % No. % No. % No. % No. %
Discharged / Alive 200 88 885 92 227 90 128 56 660 68 151 60Died
27 12 76 8 26 10 33 15 95 10 30 12Lost to follow-up NA NA NA NA NA NA 66 29 210 22 72 28Missing
0 0 4 0 0 0 0 0 0 0 0 0
*Including patients who died in-hospital.
Note: Percentage is to the nearest decimal point.
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
In-hospital Outcomes for Patient with STEMI by pre-admission Aspirin Use, Malaysia 2006
88
12
0
92
8
0
90
10
00
10
20
30
40
50
60
70
80
90
100
Discharged / Alive Died Lost to follow-up Missing
In-hospital Outcomes for STEMI Patients
% o
f P
atie
nts
Yes
No
Unknown
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
30-day Outcomes for Patients with STEMI by pre-admission Aspirin Use, Malaysia 2006
56
15
29
0
68
10
22
0
60
12
28
00
10
20
30
40
50
60
70
80
Discharged / Alive Died Lost to follow-up Missing
30-day Outcomes for STEMI Patients
% o
f P
atie
nts
Yes
No
Unknown
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall outcomes for patients with NSTEMI/UA by Percutaneous Coronary Intervention, Malaysia 2006
Outcome In-hospital 30-day*
Percutaneous coronary intervention Percutaneous coronary intervention
Yes No Yes No
No. % No. % No. % No. %
Discharged / Alive 233 96 1641 95 207 86 1156 67Died 9 4 91 5 12 5 118 7Lost to follow-up
NA NA NA NA 23 10 461 27Missing 0 0 3 0 0 0 0 0
*Including patients who died in-hospital.
Note: Percentage is to the nearest decimal point.
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall Outcomes for Patients with NSTEMI/UA by Percutaneous Coronary Intervention, Malaysia 2006
96
4 0
95
50
0
20
40
60
80
100
120
Discharged / Alive Died Lost to follow-up Missing
In-hospital Outcomes for NSTEMI/UA Patients
% o
f P
atie
nts
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
30-day Outcomes for Patients with NSTEMI/UA by Percutaneous Coronary Intervention, Malaysia 2006
86
510
0
67
7
27
00
20
40
60
80
100
Discharged / Alive Died Lost to follow-up Missing
30-day Outcomes for NSTEMI/UA Patients
% o
f P
atie
nts
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
Overall outcomes for patients with NSTEMI/UA by CABG, Malaysia 2006
Outcome In-hospital 30-day*
CABG CABG
Yes No Yes No
No. % No. % No. % No. %
Discharged / Alive
49 86 1825 95 47 82 1316 69Died 8 14 92 5 8 14 122 6Lost to follow-up
NA NA NA NA 2 4 482 25Missing 0 0 3 0 0 0 0 0
*Including patients who died in-hospital.
Note: Percentage is to the nearest decimal point.
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
In-hospital Outcomes for Patients with NSTEMI/UA by CABG, Malaysia 2006
86
140
95
5 00
20
40
60
80
100
Discharged / Alive Died Lost to follow-up Missing
In-hospital Outcomes for NSTEMI/UA Patients
% o
f P
atie
nts
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
30-day Outcomes for Patients with NSTEMI/UA by CABG, Malaysia 2006
82
14
40
69
6
25
00
10
20
30
40
50
60
70
80
90
Discharged / Alive Died Lost to follow-up Missing
30-day Outcomes for NSTEMI/UA Patients
% o
f P
atie
nts
Yes
No
Annual Report of the Acute Coronary Syndrome (ACS) Registry, Malaysia 2006
The full report is available for download at
www.acrm.org.my/ncvd