Contemporary Status of Acute Myocardial Infarction in Korean Patients: Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers

• Published in: Journal of clinical medicine Vol. 10; no. 3; p. 498
• Main Authors: Kim, Rock Bum, Hwang, Jin Yong, Park, Hyun Woong, Her, Ae-Young, Lee, Jang Hoon, Kim, Moo Hyun, Yoon, Chang Hwan, Cho, Jae Young, Woo, Sung-Il, Kim, Yongcheol, Han, Jae-Young, Choi, Joon Hyouk, Kim, Song Yi, Choi, Si Wan, Jee, Sung Ju, Lee, Sang Yeub, Won, Ki-Bum, Park, Kyeong-Soo, Hyun, Dae Woo
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 01.02.2021; MDPI
• Subjects: acute myocardial infarction; case fatality; Clinical medicine; Emergency medical care; Medical imaging; Mortality; registry; Websites; registry; case fatality; acute myocardial infarction
• ISSN: 2077-0383; 2077-0383
• DOI: 10.3390/jcm10030498

This study aimed to present the development process and characteristics of the Korean Registry of Acute Myocardial Infarction for Regional Cardiocerebrovascular Centers (KRAMI-RCC). We developed KRAMI-RCC, a web-based registry for patients with AMI. Patients from 14 RCCs were registered for more than three years from July 2016. It includes an automatic error-checking system, and user training and on-site monitoring are performed to manage data quality. A total of 11,700 AMI patients were registered in KRAMI-RCC over three years (73.9% men). The proportions of patients with ST-elevation and non-ST-elevation myocardial infarction at discharge were 43.4% and 56.6%, respectively. Of the total three-year patients, 5.6% died in the hospital, and 4.4% died 12 months after discharge. The case fatality within 12 months was 9.7%. Pre-hospital care data showed delayed arrival time after onset of symptoms (median 153 min) and low transportation rate by public ambulance (25.2%). Post-hospital care data showed lower participation rate in the second rehabilitation program (16.8%). The recently developed KRAMI-RCC registry has been more focused on pre-hospital and post-hospital data, which will be helpful in understanding the current state of AMI disease management and in making policy decisions to reduce case fatality in Korea.