| WIDIMSKÝ, Petr, William WIJNS, Jean FAJADET, Mark DE BELDER, Jiří KNOT, Lars AABERGER, George ANDRIKOPOULOS, Jose Antonio BAZ, Amadeo BETRIU, Marc CLAEYS, Nicolas DANCHIN, Slaveyko DJAMBAZOV, Paul ERNE, Juha HARTIKAINEN, Kurt HUBER, Petr KALA, Milka KLINCEVA, Steen Dalby KRISTENSEN, Peter LUDMAN, Josephina Mauri FERRE, Bella MERKELY, Davor MILICIC, Joao MORAIS, Marko NOC, Grzegorz OPOLSKI, Miodrag OSTOJIC, Dragana RADOVANOVIC, Stefano DE SERVI, Ulf STENESTRAND, Martin STUDENCAN, Marco TUBARO, Zorana VASILJEVIC, Franz WEIDINGER, Adam WITKOWSKI a Uwe ZEYMER. Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries. European Heart Journal. 2010, roč. 31, č. 8, s. 943-957. ISSN 0195-668X. Dostupné z: https://dx.doi.org/10.1093/eurheartj/ehp492. |
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@article{919838,
author = {Widimský, Petr and Wijns, William and Fajadet, Jean and De Belder, Mark and Knot, Jiří and Aaberger, Lars and Andrikopoulos, George and Baz, Jose Antonio and Betriu, Amadeo and Claeys, Marc and Danchin, Nicolas and Djambazov, Slaveyko and Erne, Paul and Hartikainen, Juha and Huber, Kurt and Kala, Petr and Klinceva, Milka and Kristensen, Steen Dalby and Ludman, Peter and Ferre, Josephina Mauri and Merkely, Bella and Milicic, Davor and Morais, Joao and Noc, Marko and Opolski, Grzegorz and Ostojic, Miodrag and Radovanovic, Dragana and De Servi, Stefano and Stenestrand, Ulf and Studencan, Martin and Tubaro, Marco and Vasiljevic, Zorana and Weidinger, Franz and Witkowski, Adam and Zeymer, Uwe},
article_number = {8},
doi = {http://dx.doi.org/10.1093/eurheartj/ehp492},
keywords = {Acute myocardial infarction; Reperfusion therapy; Thrombolysis; Primary angioplasty; Europe; Mortality; Incidence},
language = {eng},
issn = {0195-668X},
journal = {European Heart Journal},
title = {Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries},
volume = {31},
year = {2010}
}
TY - JOUR
ID - 919838
AU - Widimský, Petr - Wijns, William - Fajadet, Jean - De Belder, Mark - Knot, Jiří - Aaberger, Lars - Andrikopoulos, George - Baz, Jose Antonio - Betriu, Amadeo - Claeys, Marc - Danchin, Nicolas - Djambazov, Slaveyko - Erne, Paul - Hartikainen, Juha - Huber, Kurt - Kala, Petr - Klinceva, Milka - Kristensen, Steen Dalby - Ludman, Peter - Ferre, Josephina Mauri - Merkely, Bella - Milicic, Davor - Morais, Joao - Noc, Marko - Opolski, Grzegorz - Ostojic, Miodrag - Radovanovic, Dragana - De Servi, Stefano - Stenestrand, Ulf - Studencan, Martin - Tubaro, Marco - Vasiljevic, Zorana - Weidinger, Franz - Witkowski, Adam - Zeymer, Uwe
PY - 2010
TI - Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries
JF - European Heart Journal
VL - 31
IS - 8
SP - 943-957
EP - 943-957
SN - 0195668X
KW - Acute myocardial infarction
KW - Reperfusion therapy
KW - Thrombolysis
KW - Primary angioplasty
KW - Europe
KW - Mortality
KW - Incidence
N2 - Patient access to reperfusion therapy and the use of primary percutaneous coronary intervention (p-PCI) or thrombolysis (TL) varies considerably between European countries. The aim of this study was to obtain a realistic contemporary picture of how patients with ST elevation myocardial infarction (STEMI) are treated in different European countries. Methods and results The chairpersons of the national working groups/societies of interventional cardiology in European countries and and results selected experts known to be involved in the national registries joined the writing group upon invitation. Data were collected about the country and any existing national STEMI or PCI registries, about STEMI epidemiology, and treatment in each given country and about PCI and p-PCI centres and procedures in each country. Results from the national and/or regional registries in 30 countries were included in this analysis. The annual incidence of hospital admission for any acute myocardial infarction (AMI) varied between 90-312/100 thousand/year, the incidence of STEMI alone ranging from 44 to 142. Primary PCI was the dominant reperfusion strategy in 16 countries and TL in 8 countries. The use of a p-PCI strategy varied between 5 and 92% (of all STEMI patients) and the use of TL between 0 and 55%. Any reperfusion treatment (p-PCI or TL) was used in 37-93% of STEMI patients. Significantly less reperfusion therapy was used in those countries where TL was the dominant strategy. The number of p-PCI procedures per million per year varied among countries between 20 and 970. The mean population served by a single p-PCI centre varied between 0.3 and 7.4 million inhabitants. In those countries offering p-PCI services to the majority of their STEMI patients, this population varied between 0.3 and 1.1 million per centre. In-hospital mortality of all consecutive STEMI patients varied between 4.2 and 13.5%, for patients treated by TL between 3.5 and 14% and for patients treated by p-PCI between 2.7 and 8%. The time reported from symptom onset to the first medical contact (FMC) varied between 60 and 210 min, FMC-needle time for TL between 30 and 110 min, and FMC-balloon time for p-PCI between 60 and 177 min. Conclusion Most North, West, and Central European countries used p-PCI for the majority of their STEMI patients. The lack of organized p-PCI networks was associated with fewer patients overall receiving some form of reperfusion therapy.
ER -
WIDIMSKÝ, Petr, William WIJNS, Jean FAJADET, Mark DE BELDER, Jiří KNOT, Lars AABERGER, George ANDRIKOPOULOS, Jose Antonio BAZ, Amadeo BETRIU, Marc CLAEYS, Nicolas DANCHIN, Slaveyko DJAMBAZOV, Paul ERNE, Juha HARTIKAINEN, Kurt HUBER, Petr KALA, Milka KLINCEVA, Steen Dalby KRISTENSEN, Peter LUDMAN, Josephina Mauri FERRE, Bella MERKELY, Davor MILICIC, Joao MORAIS, Marko NOC, Grzegorz OPOLSKI, Miodrag OSTOJIC, Dragana RADOVANOVIC, Stefano DE SERVI, Ulf STENESTRAND, Martin STUDENCAN, Marco TUBARO, Zorana VASILJEVIC, Franz WEIDINGER, Adam WITKOWSKI a Uwe ZEYMER. Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries. \textit{European Heart Journal}. 2010, roč.~31, č.~8, s.~943-957. ISSN~0195-668X. Dostupné z: https://dx.doi.org/10.1093/eurheartj/ehp492.
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