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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: Current status in 37 ESC countries
European Heart Journal, Volume 35, No. 29, Year 2014
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Description
Aims: 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. Methods and results 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. Conclusion 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. All rights reserved. © 2014 The Author.
Authors & Co-Authors
Kristensen, Steen Dalby
Denmark, Aarhus
Aarhus Universitetshospital
Laut, Kristina G.
Denmark, Aarhus
Aarhus Universitetshospital
Fajadet, Jean C.
France, Toulouse
Clinique Pasteur
Kaifoszova, Zuzana
United Kingdom
Stent for Life Initiative
France
European Association of Percutaneous Cardiovascular Interventions (eapci)
Kala, Petr
Czech Republic, Brno
Fakultni Nemocnice Brno
Di Mario, Carlo D.
United Kingdom, London
Royal Brompton Hospital
Wijns, William C.
Belgium, Aalst
Onze Lieve Vrouw Hospital
Clemmensen, Peter Michael
Denmark, Copenhagen
Københavns Universitet
Agladze, Vaja
Georgia, Tbilisi
Sfl Contact Person in Geogia
Antoniades, Loizos
Cyprus, Larnaca
Larnaca General Hospital
AlHabib, Khalid Faiz
Saudi Arabia, Riyadh
College of Medicine
De Boer, Menko Jan
Netherlands, Nijmegen
Radboud University Medical Center
Claeys, Marc J.
Belgium, Edegem
Universitair Ziekenhuis Antwerpen
Deleanu, Dan
Romania, Bucharest
Emergency Institute of Cardiovascular Diseases “prof. Dr. C. C. Iliescu
Dudek, Dariusz
Poland, Krakow
Szpital Uniwersytecki w Krakowie
Erglis, Andrejs
Latvia, Riga
Paula Stradina Clinical University Hospital
Gilard, Martine
France, Brest
Centre Hospitalier Universitaire de Brest
Göktekín, Ömer
Turkey, Istanbul
Bezmiâlem Vakıf Üniversitesi
Guagliumi, Giulio
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Gudnason, Thórarinn
Iceland, Reykjavik
Landspitali - the National University Hospital of Iceland
Hansen, Kim Wadt
Denmark, Hellerup
Gentofte Hospital
Huber, Kurt H.
Austria, Vienna
Wiener Krankenanstaltenverbund
James, Stefan K.
Sweden, Uppsala
Uppsala Universitet
Janota, Tomáš
Czech Republic, Prague
Charles University
Jennings, Siobhan
Ireland, Dublin
Health Service Executive Ireland
Kajander, Olli
Finland, Tampere
University Hospital of Tampere
Kanakakis, Ioannis Georgios
Greece, Athens
National and Kapodistrian University of Athens
Karamfiloff, Kiril K.
Bulgaria, Sofia
University Hospital Alexandrovska
Kedev, Saško A.
North Macedonia, Skopje
Ss Cyril and Methodius University
Kornowski, Ran
Israel, Tel Aviv-yafo
Tel Aviv University
Ludman, Peter Frederick
United Kingdom, Birmingham
University Hospitals Birmingham Nhs Foundation Trust
Merkely, Béla D.Signla
Hungary, Budapest
Semmelweis Egyetem
Miličić, Davor
Croatia, Zagreb
Kbc Zagreb
Najafov, R. N.
Azerbaijan, Baku
Scientific Research Institute of Cardiology
Nicolini, Francesca A.
San Marino, Cailungo
Ospedale Di Stato
Noč, Marko
Slovenia, Ljubljana
Univerzitetni Klinični Center Ljubljana
Ostojić, Miodrag Caslav
Serbia, Belgrade
Klinicki Centar Srbije
Pereira, He´lder Horta
Portugal, Lisbon
Portugese Society of Cardiology
Radovanovic, Dragana
Switzerland, Zurich
Institut Für Sozial- Und Präventivmedizin
Sabaté Tenas, Manel
Spain, Barcelona
Hospital Clinic Barcelona
Sobhy, Mohamed Ahmed
Egypt, Alexandria
Faculty of Medicine
Sokolov, Maxim
Ukraine, Kyiv
National Academy of Medical Sciences of Ukraine
Studenčan, Martin
Slovakia, Presov
J.a. Reimans Faculty Hospital
Terzic´, Ibrahim
Bosnia and Herzegovina, Tuzla
Bh Heart Center Tuzla
Wahler, Steffen
Germany, Hamburg
Msh Medical School Hamburg
Widimsky, Petr
Czech Republic, Prague
Charles University
Statistics
Citations: 301
Authors: 46
Affiliations: 45
Identifiers
Doi:
10.1093/eurheartj/eht529
ISSN:
0195668X
e-ISSN:
15229645
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative