Cattle BA, Baxter PD, Greenwood DC, Gale CP, West RM.Multiple imputation for completion of a national clinical auditdataset. Statistics in Medicine 2011; 30(22):2736-53Gale CP, Cattle BA, Moore J, et al. Impact of missing data onstandardised mortality ratios for acute myocardial infarction:Evidence from the <strong>Myocardial</strong> <strong>Ischaemia</strong> <strong>National</strong> <strong>Audit</strong> <strong>Project</strong>(MINAP) 2004-2007. Heart 2011 Dec; 97(23):1926-31Bhaskaran K, Hajat S, Armstrong B, et al. The effects of hourlydifferences in air pollution on the risk of myocardial infarction:case crossover analysis of the MINAP database. BMJ 2011;343:d5531doiHuynh T, Birkhead J, Huber K, et al. The pre-hospitalfibrinolysis experience in Europe and North America andimplications for wider dissemination. JACC Cardiovasc Interv.2011 Aug;4(8):877-83.White, C. UK access to primary angioplasty services is still highlyvariable. BMJ 2011; 343 doi: 10.1136/bmj.d5508 (Published 2September 2011)Boggon R, van Staa TP, Timmis A, et al. Clopidogreldiscontinuation after acute coronary syndromes: frequency,predictors and associations with death and myocardial infarction--a hospital registry-primary care linked cohort (MINAP-GPRD).Eur Heart J. 2011 Oct;32(19):2376-86. Epub 2011 Aug 29.2012Douglas IJ, Evans SJ, Hingorani AD, et al. Clopidogrel andinteraction with proton pump inhibitors: comparison betweencohort and within person study designs. BMJ. 2012 Jul10;345:e4388. doi: 10.1136/bmj.e4388.Gale CP, Weston C, Denaxas S, et al. Engaging with the clinicaldata transparency initiative: a view from the <strong>National</strong> Institutefor Cardiovascular Outcomes Research (NICOR). Heart. 2012Jul;98(14):1040-1043.Birkhead J, Weston C, Hammersley M. Failure of NICE toresolve the question about the management of hyperglycaemia inacute coronary syndrome. Heart. 2012 Aug;98(16):1192-3. Epub2012 May 9.Simms A, Reynolds S, Pieper K, et al. Evaluation of the NICEmini-GRACE risk scores for acute myocardial infarction using the<strong>Myocardial</strong> <strong>Ischaemia</strong> <strong>National</strong> <strong>Audit</strong> <strong>Project</strong> (MINAP) 2003-2009:<strong>National</strong> Institute for Cardiovascular Outcomes Research (NICOR).Heart. 2012 Sep 22. [Epub ahead of print]Simms AD, Baxter PD, Cattle BA, et al.Do composite measures of hospital performance predict mortalityin survivors of acute myocardial infarction? Analysis of individualhospital performance and outcome for the <strong>National</strong> Institute forCardiovascular Outcomes Research (NICOR). European HeartJournal Acute Cardiovascular Care (in press)Gale CP, Cattle BA, Baxter PD, et al. Improving quality of carein the elderly after acute myocardial infarction? Age and sexdependentimprovements in care and early mortality of 478,242patients with acute myocardial infarction in the <strong>Myocardial</strong><strong>Ischaemia</strong> <strong>National</strong> <strong>Audit</strong> <strong>Project</strong> (MINAP) 2004–2009: <strong>National</strong>Institute for Cardiovascular Outcomes Research (NICOR).International Journal of Cardiology (in press)Appendix 5: Contacts for information on heartand heart related conditionsAmerican Heart Associationhttp://www.heart.org/HEARTORG/Conditions/Conditions_UCM_001087_SubHomePage.jspPatient.co.ukhttp://www.patient.co.uk/doctor/epidemiology-of-coronaryheart-diseaseBlood Pressure Associationhttp://www.bloodpressureuk.org/HomeBritish Cardiac Patients Associationhttp://www.bcpa.co.uk/British Cardiovascular Societyhttp://www.bcs.com/pages/default.aspBritish Heart Foundationhttp://www.bhf.org.uk/NB: The British Heart Foundation runs a heart informationline that provides information about heart conditions and theirmanagement. It cannot respond to questions about services inindividual hospitals. Tel: 0300 330 3311 (similar cost to 01 or 02numbers). Lines are usually open 9am-5pm Monday to Friday.Diabetes UKhttp://www.diabetes.org.uk/<strong>National</strong> Obesity Forumhttp://www.nationalobesityforum.org.uk/Department of Health websitehttp://www.dh.gov.uk/en/index.htmHEART UKhttp://www.heartuk.org.uk/Heart UK advice helpline 08454 505988NHS Evidence – cardiovascularhttp://www.evidence.nhs.uk/search?q=Cardiovascular+DiseasesNHS Choiceshttp://www.nhs.uk/Pages/HomePage.aspxNHS DirectTel: 0845 46 47Healthwatchhttp://www.healthwatch.co.uk/106 MINAP How the NHS cares for patients with heart attack
Heart attacks recorded in MINAP in 2011/12
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Myocardial IschaemiaNational Audit
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Myocardial Ischaemia National Audit
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ForewordThe annual MINAP Report, no
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Patients who received thrombolytic
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considering such factors as the age
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egarding previous medical history.
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3. Improving quality,improving outc
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is an acute heart failure syndrome
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Alan KeysMINAP Steering Group patie
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Figure 7. Patients admitted with a
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Figure 11. Percentage of patients w
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transfers require a significant amo
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Table 8 shows the performance of th
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This year we report on the interval
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Conquest Hospital, St Leonards onSe
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Royal Derby Hospital, Derby 62 89%
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“During times of financial constr
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Broomfield Hospital, Chelmsford 0 0
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Leighton Hospital, Crewe 43 86% 49
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Royal Preston Hospital, Preston 48
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Wycombe Hospital, High Wycombe 11 1
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“I know that MINAP data has been
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Cheltenham General Hospital, Chelte
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Manchester Royal Infirmary, Manches
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Salford Royal Hospital, Manchester
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“MINAP, and its long history, is
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Table 6: Ambulance Services in Engl
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