Six Months Results of the Russian Independent Registry of Acute Coronary Syndromes RECORD

In 6 months after inclusion into the Russian independent registry of patients with acute coronary syndromes (ACS) RECORD fate of 43% of participants (n=340) was elucidated by telephone contacts. After discharge after index hospitalization there were 15 deaths (4.8%) and 15 novel myocardial infarctions (MI) (4.8%). As expected patients who died or had MI compared with survivors were older, more often had signs of heart failure (Killip class >= II), and were less often prescribed aspirin and statins. Among patients with ST elevation ACS death rate between discharge and 6 months was lower among those subjected to primary PCI (7,7 vs 28,0%; p=0,035). Important findings of the study were relatively low use of recommended by current guidelines treatments and high rate of cessation of prescribed at discharge medications. It was not possible basing on material of the study to exclude preferred use of active treatments in lower risk patients as a cause of better 6 months outcomes in more actively treated.