دورية أكاديمية
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
| العنوان: | 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 |
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| المؤلفون: | 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 |
| سنة النشر: | 2023 |
| المجموعة: | University of Szeged: SZTE Repository of Publications / SZTE Publicatio Repozitórium |
| مصطلحات موضوعية: | 03.02. Klinikai orvostan |
| الوصف: | 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] . |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | http://publicatio.bibl.u-szeged.hu/29314/1/Ludman.pdfTest; 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. (kollab. közrem.): 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, 12 (1). pp. 22-37. ISSN 2048-8726 (2023) |
| DOI: | 10.1093/ehjacc/zuac143 |
| الإتاحة: | https://doi.org/10.1093/ehjacc/zuac143Test http://publicatio.bibl.u-szeged.hu/29314Test/ http://publicatio.bibl.u-szeged.hu/29314/1/Ludman.pdfTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.3B9C66BC |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/ehjacc/zuac143 |
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