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Ludman, P; Zeymer, U; Danchin, N; Kala, P; Laroche, C; Sadeghi, M; Caporale, R; Shaheen, SM; Legutko, J; Iakobishvili, Z; Alhabib, KF; Motovska, Z; Studencan, M; Mimoso, J; Becker, D; Alexopoulos, D; Kereseselidze, Z; Stojkovic, S; Zelveian, P; Goda, A; Mirrakhimov, E; Bajraktari, G; Farhan, HA; Šerpytis, P; Raungaard, B; Marandi, T; Moore, AM; Quinn, M; Karjalainen, PP; Tatu-Chitoiu, G; Gale, CP; Maggioni, AP; Weidinger, F, , ACVC-EAPCI, EORP, ACS, STEMI, investigators, group, of, the, ESC .
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.
Eur Heart J Acute Cardiovasc Care. 2022; 12(1): 22-37. Doi: 10.1093/ehjacc/zuac143
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Study Group Mitglieder der Med Uni Graz:
Pätzold Sascha
von Lewinski Dirk
Zirlik Andreas
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Abstract:
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.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
ST Elevation Myocardial Infarction - epidemiology, therapy
Quality Indicators, Health Care - administration & dosage
Percutaneous Coronary Intervention - administration & dosage
Acute Coronary Syndrome - therapy
Stroke Volume - administration & dosage
Prospective Studies - administration & dosage
Ventricular Function, Left - administration & dosage
Cardiology - administration & dosage
Registries - administration & dosage
Treatment Outcome - administration & dosage

Find related publications in this database (Keywords)
ST-segment elevation myocardial infarction
Primary percutaneous coronary intervention
Quality indicators
Guidelines
Observational studies
Registry
Reperfusion therapy
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