The American College of Cardiology and the American Heart Association are releasing a set of electronic data standards for managing acute coronary syndromes and coronary artery disease with the goal of making it easier to compare data across research studies and share data between electronic health record systems.
The new document includes a series of standardized terms and definitions across seven categories:
• Demographic and admission: patient’s sex, date of birth, race, source of admission, and payment type.
• History and risk factors: history of prior angina, previous history of heart failure, and date of prior coronary artery bypass grafting.
• Clinical presentation: date and time of symptom onset, heart rate, systolic blood pressure on first medical contact, height, and weight.
• Diagnostic procedure: rhythm determined by electrocardiography (ECG), site where first ECG was obtained, LDL value, HDL value, and glucose.
• Invasive therapeutic intervention: type of pacemaker implanted, data of noninvasive stress testing, artery responsible for acute coronary syndromes, percent of stenosis in the left main coronary artery.
• Medication: dose of anticoagulant administered, administration of beta-blocker in the first 24 hours, and prescription of aspirin at hospital discharge.
• Outcomes: death during hospitalization, occurrence of reinfarction, surgical intervention required for bleeding, and transfusion.
"We hope that these data definitions can advance research and clinical care, to increase the adoption of both proven old therapies and new innovations in cardiology," Dr. Christopher Cannon, chair of the writing committee and a cardiologist at Brigham and Women’s Hospital in Boston, said in a statement. "This advancement can support our ultimate goal – to improve outcomes for patients with cardiovascular disease."
The "2013 ACCF/AHA Key Elements and Data Definitions for Measuring the Clinical Management and Outcomes of Patients with Acute Coronary Syndromes and Coronary Artery Disease" was developed by a writing committee of physicians. Their work was supported by the ACC, the AHA, and 13 other medical organizations. There was no commercial support for the project.
The document will be published in the March 5 issue of the Journal of the American College of Cardiology and is available on the websites of both the ACC and the AHA.