ABC | Volume 114, Nº6, June 2020

Special Article Barros and Silva et al. Brazilian Registry of Acute Coronary Syndromes Arq Bras Cardiol. 2020; 114(6):995-1003 cardiovascular events, within 1 year, above 13 per 100 patients/year, but which reached values above 16.6 per 100 patients/year in the public service context (SUS). Since there are flaws in the prescription of evidence-based therapies from admission, which are intensified during the follow-up, the creation of strategies to increase adherence of evidence- based prescription could minimize the risk of such events among the Brazilian population. Author contributions Conception and design of the research: Barros e Silva PGM, Berwanger O, Guimarães JI, Andrade J, Paola AAV, Malachias MVB, Piva e Mattos LA, Precoma DB, Bacal F, Dutra OP; Acquisition of data: Barros e Silva PGM, Santos ES, Sousa AC, Cavalcante MA, Andrade PB, Carvalho F, Vargas Filho H; Analysis and interpretation of the data and Writing of the manuscript: Barros e Silva PGM; Obtaining financing: Berwanger O, Guimarães JI, Andrade J, Paola AAV, Malachias MVB, Piva e Mattos LA, Precoma DB, Bacal F, Dutra OP; Critical revision of the manuscript for intellectual content: Berwanger O, Santos ES, Sousa AC, Cavalcante MA, Andrade PB, Carvalho F, Vargas Filho H, Guimarães JI, Andrade J, Paola AAV, Malachias MVB, Piva e Mattos LA, Precoma DB, Bacal F, Dutra OP. Ethics approval and consent to participate This study was approved by the Ethics Committee of the HCor under the protocol number 117/2010. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study. Potential Conflict of Interest Pedro Gabriel Melo de Barros e Silva reported fees and research grants fromPfizer, Roche Diagnostics and Bayer. Otavio Berwanger reported grants and personal fees fromAstra Zeneca, Bayer, and Boehringer Ingelheim; grants fromAmgen and Roche Diagnosis; and personal fees from Novo Nordisk and Novartis. Sources of Funding This study was funded by Sociedade Brasileira de Cardiologia. Study Association This study is not associated with any thesis or dissertation work. 1. World Health Organization (WHO).Cardiovascular Diseases. [Internet]. [Cited in 2019 Dec 12]Available from: http://www.who.int/ cardiovascular_diseases/resources/atlas/en/. 2. Brasil. Ministério da Saúde. [Cited in 2020 Jan 23]. Available from: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?idb2011/c08.def 3. Kochanek KD, Xu JQ, Murphy SL, Minino AM, Kung HC. Deaths: preliminary data for 2009. Natl Vital Stat Rep.2011;59(4):1-51. 4. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study. Lancet. 1997;349(9064):1498-504. 5. Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, et al. Heart disease and stroke statistics--2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009;119(3):480-6.. 6. Piegas LS, Feitosa G, Mattos LA, Nicolau JC, Rossi Neto JM, Timerman A, et al. Sociedade Brasileira de Cardiologia. Diretriz da Sociedade Brasileira de Cardiologia sobre Tratamento do Infarto agudo do Miocárdio com Supradesnível do Segmento ST. Arq Bras Cardiol.2009;93(6 supl.2):e179-e264. 7. Nicolau JC, Timerman A, Marin-Neto JA, Piegas LS, Barbosa CJDG, Franci A, Sociedade Brasileira de Cardiologia. Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST. Arq Bras Cardiol. 2014; 102(3Supl.1):1-61 8. Peterson ED, Roe MT, Mulgund J, deLong ER, Lytle BL, Brindis RG, et al. Association between hospital process performance and outcomes among patients with acute coronary syndromes. JAMA. 2006;295(16):1912-20. 9. deBarrosESilvaPGM,RibeiroHB,MacedoTA,LopesRD,doAmaralBaruzzi AC, et al.  Improvement in quality indicators using NCDR® registries: First international experience.​Int J Cardiol. 2018 Sep 15;267:13-5. References 10. Piva e Mattos LA, Berwanger O, Santos ES, Reis HJ, Romano ER, Petriz Jl, et al. Clinical outcomes at 30 days in the Brazilian Registry of Acute Coronary Syndromes (ACCEPT). Arq Bras Cardiol. 2013;100(1):6-13. 11. Mattos LA. Rationality and methods of ACCEPT registry - Brazilian registry of clinical practice in acute coronary syndromes of the Brazilian Society of Cardiology. Arq Bras Cardiol. 2011;97(2):94-9. 12. Soeiro AM, Silva PGMBE, Roque EAC, Bossa AS, Biselli B, Leal CAT, et al. Prognostic Differences between Men and Women with Acute Coronary Syndrome. Data from a Brazilian Registry. Arq Bras Cardiol. 2018;111(5):648-53. 13. Nicolau JC, Franken M, Lotufo PA, Carvalho AC, Marin Neto JA, Lima FG, et al. Use of demonstrably effective therapies in the treatment of acute coronary syndromes: comparison between different Brazilian regions. Analysis of the Brazilian Registry on Acute Coronary Syndromes (BRACE). Arq Bras Cardiol. 2012;98(4):282-9. 14. Santos IS, Goulart AC, Brandão RM, Santos RC, Bittencourt MS, Sitnik D, Pereira AC, Pastore CA, Samesima N, Lotufo PA, Bensenor IM. One-year Mortality after an Acute Coronary Event and its Clinical Predictors: The ERICO Study. Arq Bras Cardiol. 2015;105(1):53-64. 15. Xavier D, Pais P, Devereaux PJ, Xie C, Prabhakaran D,Reddy KS, et al.Treatment and outcomes of acute coronary syndromes in India (CREATE): a prospective analysis of registry data. Lancet. 2008;371(9622):1435-42. 16. Ferrières J, Sartral M, Tcherny-Lessenot S,Belger M, APTOR trial investigators. A prospective observational study of treatment practice patterns in acute coronary syndrome patients undergoing percutaneous coronary intervention in Europe. Arch Cardiovasc Dis. 2011;104(2):104-14. 17. Bueno H, Pocock S, Danchin N, Annemans L, Grewgson J, Medina J, et al. International patterns of dual antiplatelet therapy duration after acute coronary syndromes. Heart. 2017;103(2):132-8. 1002