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

J 2023

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

LUDMAN, Peter, Uwe ZEYMER, Nicolas DANCHIN, Petr KALA, Cecile LAROCHE et. al.

Basic information

Original name

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

Authors

LUDMAN, Peter (guarantor), Uwe ZEYMER, Nicolas DANCHIN, Petr KALA (203 Czech Republic, belonging to the institution), Cecile LAROCHE, Masoumeh SADEGHI, Roberto CAPORALE, Sameh Mohamed SHAHEEN, Jacek LEGUTKO, Zaza IAKOBISHVILI, Khalid F ALHABIB, Zuzana MOTOVSKA, Martin STUDENCAN, Jorge MIMOSO, David BECKER, Dimitrios ALEXOPOULOS, Zviad KERESESELIDZE, Sinisa STOJKOVIC, Parounak ZELVEIAN, Artan GODA, Erkin MIRRAKHIMOV, Gani BAJRAKTARI, Hasan Ali FARHAN, Pranas SERPYTIS, Bent RAUNGAARD, Toomas MARANDI, Alice May MOORE, Martin QUINN, Pasi Paavo KARJALAINEN, Gabriel TATU-CHITOIU, Chris P GALE, Aldo P MAGGIONI and Franz WEIDINGER

Edition

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE, OXFORD, SAGE PUBLICATIONS LTD, 2023, 2048-8726

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30201 Cardiac and Cardiovascular systems

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 4.100 in 2022

RIV identification code

RIV/00216224:14110/23:00130256

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1093/ehjacc/zuac143

UT WoS

000898880900001

Keywords in English

ST-segment elevation myocardial infarction; Primary percutaneous coronary intervention; Quality indicators; Guidelines; Observational studies; Registry; Reperfusion therapy

Abstract

V originále

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.

Citovat

LUDMAN, Peter, Uwe ZEYMER, Nicolas DANCHIN, Petr KALA, Cecile LAROCHE, Masoumeh SADEGHI, Roberto CAPORALE, Sameh Mohamed SHAHEEN, Jacek LEGUTKO, Zaza IAKOBISHVILI, Khalid F ALHABIB, Zuzana MOTOVSKA, Martin STUDENCAN, Jorge MIMOSO, David BECKER, Dimitrios ALEXOPOULOS, Zviad KERESESELIDZE, Sinisa STOJKOVIC, Parounak ZELVEIAN, Artan GODA, Erkin MIRRAKHIMOV, Gani BAJRAKTARI, Hasan Ali FARHAN, Pranas SERPYTIS, Bent RAUNGAARD, Toomas MARANDI, Alice May MOORE, Martin QUINN, Pasi Paavo KARJALAINEN, Gabriel TATU-CHITOIU, Chris P GALE, Aldo P MAGGIONI and Franz WEIDINGER. 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. EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE. OXFORD: SAGE PUBLICATIONS LTD, 2023, vol. 12, No 1, p. 22-37. ISSN 2048-8726. Available from: https://dx.doi.org/10.1093/ehjacc/zuac143.

@article{2251390,
   author = {Ludman, Peter and Zeymer, Uwe and Danchin, Nicolas and Kala, Petr and Laroche, Cecile and Sadeghi, Masoumeh and Caporale, Roberto and Shaheen, Sameh Mohamed and Legutko, Jacek and Iakobishvili, Zaza and Alhabib, Khalid F and Motovska, Zuzana and Studencan, Martin and Mimoso, Jorge and Becker, David and Alexopoulos, Dimitrios and Kereseselidze, Zviad and Stojkovic, Sinisa and Zelveian, Parounak and Goda, Artan and Mirrakhimov, Erkin and Bajraktari, Gani and Farhan, Hasan Ali and Serpytis, Pranas and Raungaard, Bent and Marandi, Toomas and Moore, Alice May and Quinn, Martin and Karjalainen, Pasi Paavo and TatuandChitoiu, Gabriel and Gale, Chris P and Maggioni, Aldo P and Weidinger, Franz},
   article_location = {OXFORD},
   article_number = {1},
   doi = {http://dx.doi.org/10.1093/ehjacc/zuac143},
   keywords = {ST-segment elevation myocardial infarction; Primary percutaneous coronary intervention; Quality indicators; Guidelines; Observational studies; Registry; Reperfusion therapy},
   language = {eng},
   issn = {2048-8726},
   journal = {EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE},
   title = {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},
   url = {https://academic.oup.com/ehjacc/article/12/1/22/6809085?login=true},
   volume = {12},
   year = {2023}
}

TY  - JOUR
ID  - 2251390
AU  - 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, David - Alexopoulos, Dimitrios - Kereseselidze, Zviad - Stojkovic, Sinisa - Zelveian, Parounak - Goda, Artan - Mirrakhimov, Erkin - Bajraktari, Gani - Farhan, Hasan Ali - Serpytis, Pranas - Raungaard, Bent - Marandi, Toomas - Moore, Alice May - Quinn, Martin - Karjalainen, Pasi Paavo - Tatu-Chitoiu, Gabriel - Gale, Chris P - Maggioni, Aldo P - Weidinger, Franz
PY  - 2023
TI  - 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
JF  - EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE
VL  - 12
IS  - 1
SP  - 22-37
EP  - 22-37
PB  - SAGE PUBLICATIONS LTD
SN  - 20488726
KW  - ST-segment elevation myocardial infarction
KW  - Primary percutaneous coronary intervention
KW  - Quality indicators
KW  - Guidelines
KW  - Observational studies
KW  - Registry
KW  - Reperfusion therapy
UR  - https://academic.oup.com/ehjacc/article/12/1/22/6809085?login=true
N2  - 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.
ER  -

LUDMAN, Peter, Uwe ZEYMER, Nicolas DANCHIN, Petr KALA, Cecile LAROCHE, Masoumeh SADEGHI, Roberto CAPORALE, Sameh Mohamed SHAHEEN, Jacek LEGUTKO, Zaza IAKOBISHVILI, Khalid F ALHABIB, Zuzana MOTOVSKA, Martin STUDENCAN, Jorge MIMOSO, David BECKER, Dimitrios ALEXOPOULOS, Zviad KERESESELIDZE, Sinisa STOJKOVIC, Parounak ZELVEIAN, Artan GODA, Erkin MIRRAKHIMOV, Gani BAJRAKTARI, Hasan Ali FARHAN, Pranas SERPYTIS, Bent RAUNGAARD, Toomas MARANDI, Alice May MOORE, Martin QUINN, Pasi Paavo KARJALAINEN, Gabriel TATU-CHITOIU, Chris P GALE, Aldo P MAGGIONI and Franz WEIDINGER. 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. \textit{EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE}. OXFORD: SAGE PUBLICATIONS LTD, 2023, vol.~12, No~1, p.~22-37. ISSN~2048-8726. Available from: https://dx.doi.org/10.1093/ehjacc/zuac143.

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