Irish Heart Attack Audit National Report 2017-2020

The Heartbeat audit of ST elevation myocardial infarction (STEMI) care was first developed in 2012 in order to assess the effectiveness and quality of the newly formed National Clinical Programme for Acute Coronary Syndrome (NCP-ACS) STEMI optimal reperfusion service under the auspices of Professor Kieran Daly, Health Service Executive (HSE) Clinical Lead, and Dr Siobhan Jennings, Consultant in Public Health Medicine, HSE. In 2019, this audit and attendant database came under the governance of the National Office of Clinical Audit (NOCA) by agreement with the HSE and evolved into the Irish Heart Attack Audit (IHAA). Although this is the first national IHAA report, it continues on from the two previously published NCP-ACS reports on the state of STEMI services across the country based on data collected in 2014 (HSE, 2015) and 2016 (HSE, 2018a). With a maturing database and systematic analytic capabilities through the NOCA structure, this report provides a detailed evaluation of STEMI care in Ireland for the years 2017 to 2020.