Reperfusion therapies and in-hospital outcomes for ST-elevation myocardial infarction in Europe: the ACVC-EAPCI EORP STEMI Registry of the European Society of Cardiology
Por:
Zeymert, U, Ludman, P, Danchin, N, Kala, P, Laroche, C, Sadeghi, M, Caporale, R, Shaheen, SM, Legutko, J, Iakobsishvili, Z, Alhabib, KF, Motovska, Z, Studencan, M, Mimoso, J, Becker, D, Alexopoulos, D, Kereseselidze, Z, Stojkovic, S, Zelveian, P, Goda, A, Mirrakhimov, E, Bajraktari, G, Al-Farhan, H, Serpytis, P, Raungaard, B, Marandi, T, Moore, AM, Quinn, M, Karjalainen, PP, Tatu-Chitolu, G, Gale, CP, Maggioni, AP, Weidinger, F, Sionis A., ESC
Publicada:
21 nov 2021
Ahead of Print:
1 ago 2021
Resumen:
Aims The aim of this study was to determine the contemporary use of reperfusion therapy in the European Society of Cardiology (ESC) member and affiliated countries and adherence to ESC clinical practice guidelines in patients with ST-elevation myocardial infarction (STEMI).
Methods and results Prospective cohort (EURObservational Research Programme STEMI Registry) of hospitalized STEMI patients with symptom onset <24h in 196 centres across 29 countries. A total of 11 462 patients were enrolled, for whom primary percutaneous coronary intervention (PCI) (total cohort frequency: 72.2%, country frequency range 0-100%), fibrinolysis (18.8%; 0-100%), and no reperfusion therapy (9.0%; 0-75%) were performed. Corresponding in-hospital mortality rates from any cause were 3.1%, 4.4%, and 14.1% and overall mortality was 4.4% (country range 2.55.9%). Achievement of quality indicators for reperfusion was reported for 92.7% (region range 84.8 97.5%) for the performance of reperfusion therapy of all patients with STEMI <12h and 54.4% (region range 37.1-70.1%) for timely reperfusion.
Conclusions The use of reperfusion therapy for STEMI in the ESC member and affiliated countries was high. Primary PCI was the most frequently used treatment and associated total in-hospital mortality was below 5%. However, there was geographic variation in the use of primary PCI, which was associated with differences in in-hospital mortality.
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Filiaciones:
Zeymert, U:
Klinikum Stadt Ludwigshafen, Bremserstr 79, D-67063 Ludwigshafen, Germany
Inst Herzinfarktforsch, Bremserstr 79, D-67063 Ludwigshafen, Germany
Ludman, P:
Univ Birmingham, Inst Cardiovasc Sci, Edgbaston 1, Birmingham B15 2TT, W Midlands, England
Danchin, N:
Hop Europeen Georges Pompidou, Serv Cardiol, 20 Rue Leblanc, F-75015 Paris, France
Kala, P:
Masaryk Univ, Univ Hosp Brno, Dept Internal Med & Cardiol, Med Fac, Kamenice 5, Brno 62500, Czech Republic
Laroche, C:
European Soc Cardiol, EURObservat Res Programme, European Heart House,2035 Route Colles, Sophia Antipolis, France
Sadeghi, M:
Isfahan Univ Med Sci, Cardiac Rehabil Res Ctr, Cardiovasc Res Inst, Moshtagh Sevom St, Esfahan, Iran
Caporale, R:
Annunziata Civil Hosp, Intervent Cardiol Unit, Via Migliori 1, I-87100 Cosenza, Italy
Shaheen, SM:
Ain Shams Univ, Ramsis St,Abbassia Sq, Cairo, Egypt
Legutko, J:
Jagiellonian Univ Med Coll, Pradnicka 80, PL-31202 Krakow, Poland
John Paul 2 Hosp, Dept Intervent Cardiol, Inst Cardiol, Pradnicka, PL-31202 Krakow, Poland
Iakobsishvili, Z:
Rabin Med Ctr, Zeev Jabotinsky St 39, IL-49100 Petah Tiqwa, Israel
Alhabib, KF:
King Saud Univ, Coll Med, King Fahad Cardiac Ctr, Dept Cardiac Sci, Riyadh, Saudi Arabia
Motovska, Z:
Charles Univ Prague, Cardioctr, Fac Med 3, Ruska 2411, Prague 10000 10, Vinohrady, Czech Republic
Univ Hosp Kralovske, Ruska 2411, Prague 10000 10, Vinohrady, Czech Republic
Studencan, M:
Teaching Hosp JA Reiman, Cardioctr Presov, Jana Holleho 5898-14, Presov 08181, Slovakia
Mimoso, J:
Ctr Hosp & Univ Rio Algarve, P-8000386 Faro, Portugal
Becker, D:
Semmelweis Univ, Heart & Vasc Ctr, Gaal Jozsef Ut 9, H-1122 Budapest, Hungary
Alexopoulos, D:
Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Rimini 1, Chaidari 12462, Greece
Kereseselidze, Z:
Chapidze Emergency Cardiol Ctr, Nino Javakhishvili Str, GE-0159 Tbilisi, Georgia
Stojkovic, S:
Univ Belgrade, Fac Med, Belgrade, Serbia
Clin Ctr Serbia, Dept Cardiol, Pasterova 2, Belgrade 11000, Serbia
Zelveian, P:
Sci Res Inst Cardiol, Paruyr Sevaki St,5 Bldg, Yerevan 0014, Armenia
Goda, A:
Univ Hosp Ctr Mother Theresa, Cardiol 1, Rruga & Dibres 372, Tirana Al 1000, Albania
Univ Hosp Ctr Mother Theresa, Cardiol 2, Rruga & Dibres 372, Tirana Al 1000, Albania
Mirrakhimov, E:
Kyrgyz State Med Acad, 92 Akhunbayev St, Bishkek, Kyrgyzstan
Natl Ctr Cardiol & Internal Med, Togolok Moldo Str, Bishkek 720040, Kyrgyzstan
Bajraktari, G:
Univ Prishtina Hasan Prishtina, Univ Clin Ctr Kosova, Med Fac, Pristina 10000, Kosovo
Al-Farhan, H:
Baghdad Heart Ctr, Iraqi Sci Council Cardiol, Baghdad, Iraq
Serpytis, P:
Vilnius Univ, Fac Med, Hosp Santaros Klin, Santariskiu G 2, LT-08410 Vilnius, Lithuania
Raungaard, B:
Aalborg Univ Hosp, Dept Cardiol, Hobrovej 18-22, DK-9100 Aalborg, Denmark
Marandi, T:
North Estonia Med Ctr, J Sutiste Tee 19, EE-13419 Tallinn, Estonia
Moore, AM:
Mater Dei Hosp, MSD-2090 Msida, Malta
Quinn, M:
St Vincents Univ Hosp, Merr Rd, Dublin D04 N2E0 4, Ireland
Karjalainen, PP:
Satakunta Cental Hosp, Sairaalantie 3, Sairaalantie 28500, Finland
Tatu-Chitolu, G:
Spitalul Clin Urgenta Floreasca, Calea Floreasca 8, Bucharest 014461, Romania
Gale, CP:
Univ Leeds, Univ Leeds Sch Med, Leeds Inst Cardiovasc & Metab Med, Worsley Bldg, Leeds LS2 9JT, W Yorkshire, England
Maggioni, AP:
European Soc Cardiol, EURObservat Res Programme, European Heart House,2035 Route Colles, Sophia Antipolis, France
Maria Cecilia Hosp, GVM Care & Res, Via Corriera 1, I-48033 Cotignola, RA, Italy
Weidinger, F:
Hosp Rudolfstiftung, Juchgasse 25, A-1030 Vienna, Austria
Sionis A.:
Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
Masaryk Univ, Univ Hosp Brno, Med Fac, Dept Internal Med & Cardiol, Kamenice 5, Brno 62500, Czech Republic
Jagiellonian Univ Med Coll, John Paul II Hosp, Dept Intervent Cardiol, Inst Cardiol, Pradnicka 80, PL-31202 Krakow, Poland
Ctr Hosp & Univ Algarve, P-8000386 Faro, Portugal
Chapidze Emergency Cardiol Ctr, Didube Chugureti Dist, Nino Javakhishvili Str, GE-0159 Tbilisi, Georgia
Univ Hosp Ctr Mother Theresa, Cardiol & Cardiol 1 2, Rruga & Dibres 372, Tirana Al 1000, Albania
St Vincents Univ Hosp, Merrion Rd, Dublin D04 N2E0 4, Ireland
Satakunta Cental Hosp, Sairaalantie 3, Pori 28500, Finland
Univ Leeds, Sch Med, Leeds Inst Cardiovasc & Metab Med, Worsley Bldg, Leeds LS2 9JT, W Yorkshire, England
Open Access
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