Cheng-Han Lee, MD, PhD;* Ching-Lan Cheng, PhD;* Yea-Huei Kao Yang, PhD; ... Department of Internal Medicine, National Cheng Kung University Hospital, ...
ORIGINAL RESEARCH
Trends in the Incidence and Management of Acute Myocardial Infarction From 1999 to 2008: Get With the Guidelines Performance Measures in Taiwan Cheng-Han Lee, MD, PhD;* Ching-Lan Cheng, PhD;* Yea-Huei Kao Yang, PhD; Ting-Hsing Chao, MD; Ju-Yi Chen, MD, PhD; Ping-Yen Liu, MD, PhD; Chih-Chan Lin, MD; Shih-Hung Chan, MD, PhD; Liang-Miin Tsai, MD; Jyh-Hong Chen, MD, PhD; Li-Jen Lin, MD; Yi-Heng Li, MD, PhD
Background-—The American Heart Association Get With the Guidelines (GWTG) program has improved care quality of acute myocardial infarction (AMI) with important implications for other countries in the world. This study evaluated the incidence and care of AMI in Taiwan and assessed the compliance of GWTG in Taiwan. Methods and Results-—We used the Taiwan National Health Insurance Research Database (1999–2008) to identify hospitalized patients ≥18 years of age presenting with AMI. The temporal trends of annual incidence and care quality of AMI were evaluated. The age-adjusted incidence of AMI (/100 000 person-years) increased from 28.0 in 1999 to 44.4 in 2008 (P