부산대학교 도서관

Background: In Iwate Prefecture, the registration project for acute coronary syndrome started as a pilot project in 2014 and became a main project in 2016, enabling us to understand and verify the current situation in Iwate Prefecture.Methods: To obtain a comprehensive understanding of the present status of the region, we compiled data on the registration project for acute coronary syndrome in Iwate Prefecture.Results: The incidence/death ratio, which indicates the accuracy of registration, and the ambulance use rate increased over time. The percentage of 12-lead electrocardiogram (ECG) transmission implementation in all prefectures was still insufficient, at 7.5% in 2019. In contrast, in medical regions where transmission had already been introduced, 23.6–62.5% of cases had ECG transmission. The atrial fibrillation complication rate showed a slight upward trend over time, exceeding 10% in 2019. The incidence of pre-infarction angina was approximately 30% in this 2019 registry. For urgent recanalization therapy, urgent coronary angiography was performed in 89% of cases in 2019, and recanalization therapy was performed in an additional 83% of cases. These rates have also increased over time.Conclusion: It is necessary to continue to promote registration projects that provide an overall view of the region, provide data that can be returned to residents, and advise the government.