Heart : official journal of the British Cardiac Society
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Comparative Study
Contemporary management of acute coronary syndromes: does the practice match the evidence? The global registry of acute coronary events (GRACE).
To determine to what extent evidence based guidelines are followed in the management of acute coronary syndromes (ACS) in the UK, elsewhere in Europe, and multinationally, and what the outcomes are. ⋯ Current management of ACS in the UK more closely follows the recommendations of the National Service Framework than British or European guidelines. Differences in practice may account for the observed higher event rates in the UK after hospital discharge.