German nationwide data on current trends and management of acute myocardial infarction: discrepancies between trials and real-life.

Aims: Recent guidelines on acute myocardial infarction (AMI) are based on randomized clinical trials (RCTs) and registries with selected patients, and may therefore not represent 'real-life'. This analysis shows for the first time nationwide trends in AMI from Germany.

Methods And Results: We were provided with data on all in-patient hospitalizations by the Federal Statistical Office.