Smoking ban in public places and myocardial infarction hospitalizations in high cardiovascular risk European country – insights from the Polish nationwide AMI-PL database

Abstract

64 years in Poland reached 125, while in Germany, it was 60; in the United Kingdom, 58; and in the Netherlands, only 32. 3 Although Poland has experienced a steady decrease in CVD mortality rates since the 1990s, it is still considerably higher than the European Union average. 4 Recent research has suggested that a decrease of INTRODUCTION Cardiovascular diseases (CVDs) are the main cause of mortality in Poland. 1 Like other Central and Eastern European countries, Poland has a high CVD risk, with high premature CVD mortality. 2 Recent data from the European Commission indicated that in 2016 the standardized CVD death rate per 100 000 men aged 25 to

Clinical Characteristics, Treatments, and Outcomes of Patients with Myocardial Infarction with Non-Obstructive Coronary Arteries (MINOCA): Results from a Multicenter National Registry

“…The AMI-PL includes all cases of AMI that occurred between 2009 and 2014. The design for AMI-PL has been described earlier [ 7 ]. In brief, the database contains the record of all AMI cases provided by the National Health Fund, the sole public health insurer in Poland.…”

ST-Elevation Acute Myocardial Infarction in a Young Man

“…On the other hand, despite broad warnings and public information campaigns, smoking is still the most common modifiable risk factor in young adult STEMI patients [ 17 , 18 ]. A significant decrease was seen in age-standardized AMI hospitalizations after a smoking ban was introduced, in a long-term follow-up in both younger and older patients, both male and female, though with differences regarding place of residence [ 19 ]. In addition, young patients have a low proportion of hypertension and diabetes, but these patients have high levels of LDL-C, uric acid, and homocysteine [ 12 ].…”

Worse long-term prognosis in myocardial infarction occurring at weekends or public holidays with insight into myocardial infarction with nonobstructive coronary arteries

“…In turn, 642 (74.2%) patients were admitted on working day (WD) ( Figure 1). The patients' age, anthropometric data, medical history, clinical presentation, baseline laboratory measurements and the data regarding the course of hospitalization were collected [7]. Patients were classified as STEMI or NSTEMI in accordance with current guidelines [8,9].…”

“…There were no differences between patients admitted on NWD as compared with WD in terms of length of hospitalization (5 [4][5][6][7][8] Figure 2A), whereas after the first year of follow-up mortality rate was 26.8% versus 19%, respectively (log-rank P=0.027, Figure 2A). Finally, all-cause long-term mortality was higher in patients who were treated at NWD versus at WD (36.3 vs 28.4%, log-rank P=0.037) ( Figure 2A).…”

“…In both groups no differences were found in baseline cardiac necrotic markers and in the distribution of insignificant lesions in coronary arteries in angiography (Table 4). The length of hospitalization in both MINOCA groups hospitalized on NWD and on WD was similar (4 [3][4][5] vs 4 [3][4][5][6][7] days, P=0.85, respectively). There were no in-hospital deaths in compared groups.…”