Annual Report of the NCVD-ACS Registry 2006

Inaugural Report of the Acute Coronary Syndrome (ACS) Registry 2006

About NCVD

The National Cardiovascular Database (NCVD) is a service supported by the Ministry of Health Malaysia (MOH) to collect information about cardiovascular disease in Malaysia, which will enable us to know the incidence of cardiovascular disease, and to evaluate its risk factors and treatment in the country. This information is useful in assisting the MOH, Non - Governmental Organizations, private healthcare providers and industry in programme planning and evaluation, leading to cardiovascular disease prevention and control.

The NCVD is established to integrate various existing databases in individual hospitals either in MOH hospitals or private and other data sources to achieve a nation-wide cardiovascular database.

Rationale for Acute Coronary Syndrome (ACS) registry Several important issues arise when applying the rigorous standards and protocols from clinical trials into real-life practice which include questions like:

* Are the population and the patient groups in Malaysia similar to those being investigated in the clinical trials?

* Are our hospitals following the guidelines set out by the expert committees?

* Are we seeing the same results and benefits of implementing evidence-based strategies?

* Which strategy will be the best value in terms of cost-effectiveness for the Ministry?

Furthermore, at present much of what we understand about risk and likelihood of CV disease and indeed its incidence and prevalence are derived from "Western" data. There is now an increasing awareness of ethnic variations and risk, socio-cultural and socio-economic influences as well as geographical variations. The risk prediction of ACS is also unclear andmay be different from CV disease patients with chronic stable angina.These are the reasons why a registry is needed, as it is provides the real-life data that would represent the population.

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