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 /

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 STEM I within 24 h of symptom onset (11 462 patients, 196 centres, 26 European Society of Cardiology members, and 3 affil...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Ludman Peter
Zeymer Uwe
Danchin Nicolas
Kala Petr
Laroche Cecile
Sadeghi Masoumeh
Caporale Roberto
Shaheen Sameh Mohamed
Legutko Jacek
Iakobishvili Zaza
Alhabib Khalid F.
Motovska Zuzana
Studencan Martin
Mimoso Jorge
Becker Dávid
Kollaborációs szervezet: ESC
Ruzsa Zoltán
et al
Dokumentumtípus: Cikk
Megjelent: 2023
Sorozat:EUROPEAN HEART JOURNAL: ACUTE CARDIOVASCULAR CARE 12 No. 1
Tárgyszavak:
doi:10.1093/ehjacc/zuac143

mtmt:33594379
Online Access:http://publicatio.bibl.u-szeged.hu/29314
Leíró adatok
Tartalmi kivonat: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 STEM I 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. [GRAPHICS] .
Terjedelem/Fizikai jellemzők:22-37
ISSN:2048-8726