Management of acute coronary syndrome in Požega General County Hospital

In this article we presented the management of patients with acute coronary syndrome (ACS) in Poæega- Slavonia county region with short review of historical compendium of therapeutic strategies after foundation of Coronary Care Unit until today. Particular emphasis was placed on structure of patients with ACS during 2009 year and on inhospital mortality. Since our county region was not actively included in the Croatian primary percutaneous coronary intervention (PCI) network at that time, management for patients with acute ST segment elevation myocardial infarction was systemic fibrinolysis with subsequently performed PCI within 24-48 hours. In patients with acute non-ST-segment elevation myocardial infarction and unstable angina pectoris, the management depends on risk stratification, after initial conservative treatment we mostly insist on promptly performed interventional treatment. The results of this therapeutic strategy for ACS patients were comparable with the results of the regions which were actively included in the Croatian primary PCI network