Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries.
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Authors
Kristensen, Steen DLaut, Kristina G
Fajadet, Jean
Kaifoszova, Zuzana
Kala, Petr
Di Mario, Carlo
Wijns, William
Clemmensen, Peter
Agladze, Vaja
Antoniades, Loizos
Alhabib, Khalid F
De Boer, Menko-Jan
Claeys, Marc J
Deleanu, Dan
Dudek, Dariusz
Erglis, Andrejs
Gilard, Martine
Goktekin, Omer
Guagliumi, Giulio
Gudnason, Thorarinn
Hansen, Kim Wadt
Huber, Kurt
James, Stefan
Janota, Tomáš
Jennings, Siobhan
Kajander, Olli
Kanakakis, John
Karamfiloff, Kiril K
Kedev, Sasko
Kornowski, Ran
Ludman, Peter F
Merkely, Béla
Milicic, Davor
Najafov, Ruslan
Nicolini, Francesca A
Noč, Marko
Ostojic, Miodrag
Pereira, Hélder
Radovanovic, Dragana
Sabaté, Manel
Sobhy, Mohamed
Sokolov, Maxim
Studencan, Martin
Terzic, Ibrahim
Wahler, Steffen
Widimsky, Petr
Issue Date
2014-08-01
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Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries. 2014, 35 (29):1957-70 Eur. Heart J.Abstract
Primary percutaneous coronary intervention (PPCI) is the preferred reperfusion therapy in ST-elevation myocardial infarction (STEMI). We conducted this study to evaluate the contemporary status on the use and type of reperfusion therapy in patients admitted with STEMI in the European Society of Cardiology (ESC) member countries.A cross-sectional descriptive study based on aggregated country-level data on the use of reperfusion therapy in patients admitted with STEMI during 2010 or 2011. Thirty-seven ESC countries were able to provide data from existing national or regional registries. In countries where no such registries exist, data were based on best expert estimates. Data were collected on the use of STEMI reperfusion treatment and mortality, the numbers of cardiologists, and the availability of PPCI facilities in each country. Our survey provides a brief data summary of the degree of variation in reperfusion therapy across Europe. The number of PPCI procedures varied between countries, ranging from 23 to 884 per million inhabitants. Primary percutaneous coronary intervention and thrombolysis were the dominant reperfusion strategy in 33 and 4 countries, respectively. The mean population served by a single PPCI centre with a 24-h service 7 days a week ranged from 31 300 inhabitants per centre to 6 533 000 inhabitants per centre. Twenty-seven of the total 37 countries participated in a former survey from 2007, and major increases in PPCI utilization were observed in 13 of these countries.
Large variations in reperfusion treatment are still present across Europe. Countries in Eastern and Southern Europe reported that a substantial number of STEMI patients are not receiving any reperfusion therapy. Implementation of the best reperfusion therapy as recommended in the guidelines should be encouraged.
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To access publisher's full text version of this article click on the hyperlink at the bottom of the pageAdditional Links
http://dx.doi.org/10.1093/eurheartj/eht529http://eurheartj.oxfordjournals.org/content/ehj/35/29/1957.full.pdf
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Archived with thanks to European heart journalae974a485f413a2113503eed53cd6c53
10.1093/eurheartj/eht529
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