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Care of patients with ST-elevation myocardial infarction: an international analysis of quality indicators in the acute coronary syndrome STEMI Registry of the EURObservational Research Programme and ACVC and EAPCI Associations of the European Society of Cardiology in 11 462 patients
P. Ludman, U. Zeymer, N. Danchin, P. Kala, C. Laroche, M. Sadeghi, R. Caporale, SM. Shaheen, J. Legutko, Z. Iakobishvili, KF. Alhabib, Z. Motovska, M. Studencan, J. Mimoso, D. Becker, D. Alexopoulos, Z. Kereseselidze, S. Stojkovic, P. Zelveian,...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
PubMed
36346109
DOI
10.1093/ehjacc/zuac143
Knihovny.cz E-zdroje
- MeSH
- akutní koronární syndrom * terapie MeSH
- funkce levé komory srdeční MeSH
- infarkt myokardu s elevacemi ST úseků * epidemiologie terapie MeSH
- kardiologie * MeSH
- koronární angioplastika * MeSH
- lidé MeSH
- prospektivní studie MeSH
- registrace MeSH
- tepový objem MeSH
- ukazatele kvality zdravotní péče MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
AIMS: To use quality indicators to study the management of ST-segment elevation myocardial infarction (STEMI) in different regions. METHODS AND RESULTS: Prospective cohort study of STEMI within 24 h of symptom onset (11 462 patients, 196 centres, 26 European Society of Cardiology members, and 3 affiliated countries). The median delay between arrival at a percutaneous cardiovascular intervention (PCI) centre and primary PCI was 40 min (interquartile range 20-74) with 65.8% receiving PCI within guideline recommendation of 60 min. A third of patients (33.2%) required transfer from their initial hospital to one that could perform emergency PCI for whom only 27.2% were treated within the quality indicator recommendation of 120 min. Radial access was used in 56.6% of all primary PCI, but with large geographic variation, from 76.4 to 9.1%. Statins were prescribed at discharge to 98.7% of patients, with little geographic variation. Of patients with a history of heart failure or a documented left ventricular ejection fraction ≤40%, 84.0% were discharged on an angiotensin-converting enzyme inhibitor/angiotensin receptor blocker and 88.7% were discharged on beta-blockers. CONCLUSION: Care for STEMI shows wide geographic variation in the receipt of timely primary PCI, and is in contrast with the more uniform delivery of guideline-recommended pharmacotherapies at time of hospital discharge.
Ain Shams University Cairo Egypt
ANMCO Research Center Heart Care Foundation Florence Italy
Cardiocentre Presov Teaching Hospital of J A Reiman Presov Slovakia
Cardiology 1 and Cardiology 2 University Hospital Center Mother Theresa Tirana Albania
Centre of Cardiology North Estonia Medical Centre Tallinn Estonia
Centro Hospitalar e Universitário do Algarve Faro Portugal
Chapidze Emergency Cardiology Center Tbilisi Georgia
Department of Cardiology Aalborg University Hospital Aalborg Denmark
Department of Cardiology Clinical Center of Serbia Belgrade Serbia
Department of Cardiology University of Tartu Tartu Estonia
EURObservational Research Programme European Society of Cardiology Sophia Antipolis France
Faculty of Medicine University of Belgrade Belgrade Serbia
Heart and Lung Center Helsinki University Hospital and Helsinki University Helsinki Finland
Heart and Vascular Center Semmelweis University Budapest Hungary
Hôpital Européen Georges Pompidou Service de Cardiologie Paris Paris France
Hospital Rudolfstiftung Vienna Austria
Institute of Cardiovascular Sciences University of Birmingham Birmingham UK
Interventional Cardiology Unit Annunziata Civil Hospital Cosenza Italy
Klinikum der Stadt Ludwigshafen and Institut für Herzinfarktforschung Ludwigshafen am Rhein Germany
Kyrgyz State Medical Academy Bishkek Kyrgyzstan
Mater Dei Hospital Msida Malta
National and Kapodistrian University of Athens Attikon University Hospital Athens Greece
National Center of Cardiology and Internal Medicine Bishkek Kyrgyzstan
Rabin Medical Center Petah Tikva Israel
Scientific Research Institute of Cardiology named after Levon Hovhannisyan Yerevan Armenia
Spitalul Clinic de Urgenta 'Floreasca' Bucharest Romania
Citace poskytuje Crossref.org
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