The China Acute Myocardial Infarction (CAMI) Registry: A national long-term registry-research-education integrated platform for exploring acute myocardial infarction in China

Xu, Haiyan; Li, Wei; Yang, Jingang; Wiviott, Stephen D.; Sabatine, Marc S.; Peterson, Eric D.; Xian, Ying; Roe, Matthew T.; Zhao, Wei; Wang, Yang; Tang, Xiaonan; Jia, Xiuzhi; Wu, Yuan; Gao, Runlin; Yang, Yuejin

doi:10.1016/j.ahj.2015.04.014

Cited by 101 publications

(93 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Third, our urban-rural classification was based on the nature of the clusters, and not the household registration status of individuals in the clusters. This may introduce some misclassification errors, although our methods were consistent with definitions of the Sino-MONICA project [19] and the national myocardial infarction registry [13]. …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Urban and Rural Differences of Acute Cardiovascular Disease Events: A Study from the Population-Based Real-Time Surveillance System in Zhejiang, China in 2012

Gong

Wei

Liang³

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

Zhejiang province, China, has implemented a population based, real-time surveillance system that tracks acute cardiovascular diseases (CVDs) events since 2001. This study aimed to describe the system and report CVD incidence, mortality and case-fatality between urban and rural areas in Zhejiang in 2012. The surveillance system employs a stratified random sampling method covering all permanent residents of 30 counties/districts in Zhejiang. Acute CVD events such as coronary heart disease (CHD) and stroke were defined, registered and reviewed based on the adapted MONICA (Monitoring Trends and Determinants in Cardiovascular Disease) definitions. Data were collected from health facilities, vital registries, supplementary surveys, and additional investigations, and were checked for data quality before input in the system. We calculated the rates and compared them by gender, age and region. In 2012, the incidence, mortality and case-fatality of total acute CVD events were 367.0 (CHD 59.1, stroke 307.9), 127.1 (CHD 43.3, stroke 83.8) per 100,000 and 34.6% (CHD 73.2%, stroke 27.2%), respectively. Compared with rural areas, urban areas reported higher incidence and mortality but lower case-fatality rates for CHD (P<0.001), while lower incidence but higher mortality and case-fatality rates for stroke (P<0.001). We found significant differences on CHD and stroke epidemics between urban and rural areas in Zhejiang. Special attentions need to be given to stroke control, especially in rural areas.

show abstract

Section: Discussionmentioning

confidence: 99%

“…But it only covered a small proportion of the population in developing countries. China set up the National Stroke Registry in 2007 [12] and subsequently the Acute Myocardial Infarction Registry in 2013 [13]. However, both systems were hospital-based, only tracked cases for a short period, and covered a relatively small population.…”

Section: Introductionmentioning

confidence: 99%

Urban and Rural Differences of Acute Cardiovascular Disease Events: A Study from the Population-Based Real-Time Surveillance System in Zhejiang, China in 2012

Gong

Wei

Liang³

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Full details of the rationale and methodology of the CAMI registry study have been depicted elsewhere. [12]…”

Section: Methodsmentioning

confidence: 99%

The Comparison of the Outcomes between Primary PCI, Fibrinolysis, and No Reperfusion in Patients ≥ 75 Years Old with ST-Segment Elevation Myocardial Infarction: Results from the Chinese Acute Myocardial Infarction (CAMI) Registry

Yang

Gao

et al. 2016

PLoS ONE

View full text Add to dashboard Cite

BackgroundOnly a few randomized trials have analyzed the clinical outcomes of elderly ST-segment elevation myocardial infarction (STEMI) patients (≥ 75 years old). Therefore, the best reperfusion strategy has not been well established. An observational study focused on clinical outcomes was performed in this population.MethodsBased on the national registry on STEMI patients, the in-hospital outcomes of elderly patients with different reperfusion strategies were compared. The primary endpoint was defined as death. Secondary endpoints included recurrent myocardial infarction, ischemia driven revascularization, myocardial infarction related complications, and major bleeding. Multivariable regression analysis was performed to adjust for the baseline disparities between the groups.ResultsPatients who had primary percutaneous coronary intervention (PCI) or fibrinolysis were relatively younger. They came to hospital earlier, and had lower risk of death compared with patients who had no reperfusion. The guideline recommended medications were more frequently used in patients with primary PCI during the hospitalization and at discharge. The rates of death were 7.7%, 15.0%, and 19.9% respectively, with primary PCI, fibrinolysis, and no reperfusion (P < 0.001). Patients having primary PCI also had lower rates of heart failure, mechanical complications, and cardiac arrest compared with fibrinolysis and no reperfusion (P < 0.05). The rates of hemorrhage stroke (0.3%, 0.6%, and 0.1%) and other major bleeding (3.0%, 5.0%, and 3.1%) were similar in the primary PCI, fibrinolysis, and no reperfusion group (P > 0.05). In the multivariable regression analysis, primary PCI outweighs no reperfusion in predicting the in-hospital death in patients ≥ 75 years old. However, fibrinolysis does not.ConclusionsEarly reperfusion, especially primary PCI was safe and effective with absolute reduction of mortality compared with no reperfusion. However, certain randomized trials were encouraged to support the conclusion.

show abstract

“…The ongoing China Patient-Centered Evaluative Assessment of Cardiac Events (PEACE) Prospective Study of Percutaneous Coronary Intervention,22 part of the nationwide China PEACE Initiative, is a multicentre prospective cohort study involving 34 tertiary hospitals that aims to evaluate long-term clinical and patient-reported outcomes, adherence to medication for secondary prevention of CAD as well as risk factors in patients following PCI. Also worth highlighting is the nationwide China Acute Myocardial Infarction Registry,23 which was designed to incorporate the three-tier hospital infrastructure in China: province, prefecture and county. This broad representation of hospitals will ensure that data obtained will reflect current real-world practice trends, patient outcomes and prognosis as well as economic situations in both rural and urban healthcare settings.…”

Section: Evidence Base For the 2016 Chinese Guideline For Pci: A Closmentioning

confidence: 99%

Development of local clinical practice guidelines in the real world: an evolving scene in China

Kwong

Sun

2017

Heart Asia

View full text Add to dashboard Cite

The China Acute Myocardial Infarction (CAMI) Registry: A national long-term registry-research-education integrated platform for exploring acute myocardial infarction in China

Cited by 101 publications

References 23 publications

Urban and Rural Differences of Acute Cardiovascular Disease Events: A Study from the Population-Based Real-Time Surveillance System in Zhejiang, China in 2012

Urban and Rural Differences of Acute Cardiovascular Disease Events: A Study from the Population-Based Real-Time Surveillance System in Zhejiang, China in 2012

The Comparison of the Outcomes between Primary PCI, Fibrinolysis, and No Reperfusion in Patients ≥ 75 Years Old with ST-Segment Elevation Myocardial Infarction: Results from the Chinese Acute Myocardial Infarction (CAMI) Registry

Development of local clinical practice guidelines in the real world: an evolving scene in China

Contact Info

Product

Resources

About