NICOR: National Institute for Cardiovascular Outcomes Research


MINAP 2013 Public Report

Publication date: Nov 4, 2013 11:09:04 AM

Another year has gone by and another MINAP Public Report has been published, providing an insight into how the NHS cares for patients with Heart Attack. 

Heart attack remains a major problem in the UK. Urgent treatment reduces the likelihood of death, further heart attack and disability, and can lead to full recovery. Precisely what treatment is required is determined by assessing the electrical activity of the heart using an ECG (‘heart tracing’). In this way heart attacks are classified as STEMI or nSTEMI, each with slightly different early treatment. 

The twelfth MINAP annual report (click here for the report) shows that the majority of patients with STEMI (87%) received the life saving treatment (primary PCI - a procedure to open a blocked artery) within 150 minutes from the time of calling for professional help, were admitted directly to the specialist heart attack centre. However, MINAP reports than only 56% of such patients had their artery 'unblocked' within 150 minutes, when they were first assessed at the non-interventional hospital before being transferred to the heart attack centre. 

The care of nSTEMI is more uncertain as it is known that not all nSTEMI patients are entered into the MINAP database. A number of hospitals report that they lack resources to enter data on any or all nSTEMI patients. More generally, patients not admitted to a cardiac unit are less likely to be reported to MINAP. Thus, the percentages reported in this report do not, in every case, reliably capture the total number of nSTEMI patients admitted to a hospital, but only reflect those records entered into the MINAP database.

Professor Huon Gray, National Clinical Director (Cardiac), NHS England and Consultant Cardiologist, Southampton University Hospital, said:  

"MINAP has been a major driving force in improving services for people who have suffered heart attacks across the country...it reflects a professional approach to practice that goes beyond the immediate care of an individual patient, to include a readiness to describe and understand variations in care between hospitals...and promotes best and improved practice."