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Invasive management and late clinical outcomes in contemporary Australian management of acute coronary syndromes: observations from the ACACIA registry

Leigh D Kinsman, Julie Redfern and Tom G Briffa
Med J Aust 2009; 190 (3): . || doi: 10.5694/j.1326-5377.2009.tb02324.x
Published online: 2 February 2009

To the Editor: The work presented by Chew and colleagues in setting up and using the Acute Coronary Syndrome Prospective Audit (ACACIA) is an important and influential initiative.1 It has the potential to provide a strong evidence base for the design and delivery of cardiac services in Australia.


  • 1 School of Rural Health, Monash University, Bendigo, VIC.
  • 2 ANZAC Research Institute, Sydney, NSW.
  • 3 School of Population Health, University of Western Australia, Perth, WA.



  • 1. Chew DP, Amerena JV, Coverdale SG, et al, on behalf of the ACACIA investigators. Invasive management and late clinical outcomes in contemporary Australian management of acute coronary syndromes: observations from the ACACIA registry. Med J Aust 2008; 188: 691-697. <eMJA full text> <MJA full text>
  • 2. Scott IA. Acute coronary syndromes: exploring the best way forward in optimising care [editorial]. Med J Aust 2008; 188: 686-687. <eMJA full text> <MJA full text>
  • 3. Taylor RS, Brown A, Ebrahim S, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med 2004; 116: 682-692.
  • 4. World Health Organization. Rehabilitation after cardiovascular diseases, with special emphasis on developing countries. Report of a WHO expert committee. WHO technical report series 831. Geneva: WHO, 1993. http://whqlibdoc.who.int/trs/WHO_TRS_831.pdf (accessed Jun 2008).
  • 5. Redfern J, Ellis ER, Briffa T, Freedman SB. High risk-factor level and low risk-factor knowledge in patients not accessing cardiac rehabilitation after acute coronary syndrome. Med J Aust 2007; 186: 21-25. <eMJA full text> <MJA full text>
  • 6. Briffa TG, Eckermann SD, Griffiths AD, et al. Cost-effectiveness of rehabilitation after an acute coronary event: a randomised controlled trial. Med J Aust 2005; 183: 450-455. <eMJA full text> <MJA full text>

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