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The Myocardial Ischaemia National Audit Project (MINAP)
  1. Emily Herrett1,
  2. Liam Smeeth1,
  3. Lynne Walker2,
  4. Clive Weston3,
  5. on behalf of the MINAP Academic Group
  1. 1Department of Epidemiology and Population Health, Non-communicable Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, London, UK
  2. 2National Institute for Clinical Outcomes Research, The Heart Hospital, London, UK
  3. 3Myocardial Ischaemia National Audit Project, School of Medicine, Swansea University, Swansea, UK
  1. Correspondence to Emily Herrett, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK; emily.herrett{at}


Aims of MINAP To audit the quality of care of patients with acute coronary syndrome and provide a resource for academic research.

Quality of care interventions Feedback to hospitals, ambulance services and cardiac networks regarding benchmarking of performance against national standards and targets.

Setting All 230 acute hospitals in England and Wales. Years: 2000-present.

Population Consecutive patients, unconsented. Current number of records: 735 000.

Startpoints Any acute coronary syndrome, including non-ST-elevation myocardial infarction, ST-elevation myocardial infarction and unstable angina.

Baseline data 123 fields covering demographic factors, co-morbid conditions and treatment in hospital. No blood resource.

Data capture Manual entry by clerks, nurses or doctors onto Lotus Notes; non-financial incentives at hospital level.

Data quality Hospitals perform an annual data validation study, where data are re-entered from the case notes in 20 randomly selected records that are held on the server. In 2008 data were >90% complete for 20 key fields, with >80% completeness for all but four of the remaining fields.

Endpoints and linkages to other data All-cause mortality is obtained through linkage with Office for National Statistics. No other linkages exist at present.

Access to data Available for research and audit by application to the MINAP Academic Group.

  • registries
  • clinical audit
  • acute coronary syndrome
  • delivery of care

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  • Funding The Health Quality Improvement Partnership. Other Funders: Wellcome Trust.

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

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    BMJ Publishing Group Ltd and British Cardiovascular Society