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The actual therapy and in-hospital mortality of acute myocardial infarction in Flanders. Mirracle's Investigators.

We studied influences on treatment and mortality in 787 patients with myocardial infarction in the setting of a prospective registry. Fifty % of patients received thrombolytics, 81% aspirin, and 46% beta-blockers. Decisions to give thrombolytics were influenced by gender and function. During hospital stay angioplasty was performed in 21%, and grafting in 11%. In hospital-mortality (11%) was related to age and function. In multivariate analysis, only age influenced the use of angioplasty and revascularization. In conclusion, in-hospital mortality remains high, while 50% of patients receive thrombolytic therapy. Some therapeutic options are highly influenced by age, gender, and cardiac function.