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

被引：12

作者：

Ludman, Peter ^{[1
]}

Zeymer, Uwe ^{[2
,3
]}

Danchin, Nicolas ^{[4
]}

Kala, Petr ^{[5
]}

Laroche, Cecile ^{[6
]}

Sadeghi, Masoumeh ^{[7
]}

Caporale, Roberto ^{[8
]}

Shaheen, Sameh Mohamed ^{[9
]}

Legutko, Jacek ^{[10
]}

Iakobishvili, Zaza ^{[11
]}

Alhabib, Khalid F. ^{[12
]}

Motovska, Zuzana ^{[13
,14
]}

Studencan, Martin ^{[15
]}

Mimoso, Jorge ^{[16
]}

Becker, David ^{[17
]}

Alexopoulos, Dimitrios ^{[18
]}

Kereseselidze, Zviad ^{[19
]}

Stojkovic, Sinisa ^{[20
,21
]}

Zelveian, Parounak ^{[22
]}

Goda, Artan ^{[23
,24
]}

Mirrakhimov, Erkin ^{[25
,26
]}

Bajraktari, Gani ^{[27
]}

Farhan, Hasan Ali ^{[28
]}

Serpytis, Pranas ^{[29
]}

Raungaard, Bent ^{[30
]}

Marandi, Toomas ^{[31
,32
]}

Moore, Alice May ^{[33
]}

Quinn, Martin ^{[34
]}

Karjalainen, Pasi Paavo ^{[35
,36
]}

Tatu-Chitoiu, Gabriel ^{[37
]}

Gale, Chris P. ^{[6
,38
]}

Maggioni, Aldo P. ^{[6
,39
]}

Weidinger, Franz ^{[40
]}

机构：

[1] Univ Birmingham, Inst Cardiovasc Sci, Birmingham, W Midlands, England

[2] Klinikum Stadt Ludwigshafen, Ludwigshafen, Germany

[3] Inst Herzinfarktforsch, Ludwigshafen, Germany

[4] Hop Europeen Georges Pompidou, Serv Cardiol Paris, Paris, France

[5] Masaryk Univ, Univ Hosp Brno, Dept Internal Med & Cardiol, Med Fac, Brno, Czech Republic

[6] European Soc Cardiol, EURObservat Res Programme, Sophia Antipolis, France

[7] Isfahan Univ Med Sci, Cardiac Rehabil Res Ctr, Cardiovasc Res Inst, Esfahan, Iran

[8] Annunziata Civil Hosp, Intervent Cardiol Unit, Cosenza, Italy

[9] Ain Shams Univ, Cairo, Egypt

[10] Jagiellonian Univ Med Coll, John Paul 2 Hosp, Dept Intervent Cardiol, Inst Cardiol, Krakow, Poland

[11] Rabin Med Ctr, Petah Tiqwa, Israel

[12] King Saud Univ, Coll Med, King Fahad Cardiac Ctr, Dept Cardiac Sci, Riyadh, Saudi Arabia

[13] Charles Univ Prague, Cardioctr, Fac Med 3, Prague, Czech Republic

[14] Univ Hosp Kralovske Vinohrady, Prague, Czech Republic

[15] Teaching Hosp JA Reiman, Cardioctr Presov, Presov, Slovakia

[16] Ctr Hosp & Univ Algarve, Faro, Portugal

[17] Semmelweis Univ, Heart & Vasc Ctr, Budapest, Hungary

[18] Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Athens, Greece

[19] Chapidze Emergency Cardiol Ctr, Tbilisi, Georgia

[20] Univ Belgrade, Fac Med, Belgrade, Serbia

[21] Clin Ctr Serbia, Dept Cardiol, Belgrade, Serbia

[22] Sci Res Inst Cardiol, Yerevan, Armenia

[23] Univ Hosp Ctr Mother Theresa, Cardiol 1, Tirana, Albania

[24] Univ Hosp Ctr Mother Theresa, Cardiol 2, Tirana, Albania

[25] Kyrgyz State Med Acad, Bishkek, Kyrgyzstan

[26] Natl Ctr Cardiol & Internal Med, Bishkek, Kyrgyzstan

[27] Univ Prishtina Hasan Prishtina, Univ Clin Ctr Kosova, Med Fac, Prishtina, Kosovo

[28] Baghdad Heart Ctr, Med City, Iraqi Board Med Specializat, Sci Council Cardiol, Baghdad, Iraq

[29] Vilnius Univ, Fac Med, Vilnius, Lithuania

[30] Aalborg Univ Hosp, Dept Cardiol, Aalborg, Denmark

[31] North Estonia Med Ctr, Ctr Cardiol, Tartu, Estonia

[32] Univ Tartu, Dept Cardiol, Tartu, Estonia

[33] Mater Dei Hosp, Msida, Malta

[34] St Vincents Univ Hosp, Dublin 4, Ireland

[35] Helsinki Univ Hosp, Heart & Lung Ctr, Helsinki, Finland

[36] Univ Helsinki, Helsinki, Finland

[37] Spitalul Clin Urgenta Floreasca, Bucharest, Romania

[38] Univ Leeds, Leeds Teaching Hosp NHS Trust, Leeds Inst Cardiovasc & Metab Med, Dept Cardiol, Leeds, W Yorkshire, England

[39] Heart Care Fdn, ANMCO Res Ctr, Florence, Italy

[40] Hosp Rudolfstiftung, Vienna, Austria

来源：

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE | 2023年 / 12卷 / 01期

关键词：

ST-segment elevation myocardial infarction; Primary percutaneous coronary intervention; Quality indicators; Guidelines; Observational studies; Registry; Reperfusion therapy; ACUTE CARDIOVASCULAR CARE; HEART SURVEY; REPERFUSION THERAPY; MEDITERRANEAN BASIN; POSITION PAPER; MANAGEMENT; ESC; GUIDELINES; MORTALITY; OUTCOMES;

D O I：

10.1093/ehjacc/zuac143

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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] .

引用

页码：22 / 37

页数：16

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