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.

Cardiology Europe / epidemiology Hospitals Humans Myocardial Reperfusion Percutaneous Coronary Intervention Prospective Studies Registries ST Elevation Myocardial Infarction / therapy Treatment Outcome

Observational studies Primary percutaneous coronary intervention Reperfusion therapy ST-elevation myocardial infarction

Journal

European heart journal

ISSN: 1522-9645

Titre abrégé: Eur Heart J

Pays: England

ID NLM: 8006263

Informations de publication

Date de publication:
21 11 2021

Historique:

received: 22 12 2020

revised: 18 04 2021

accepted: 05 06 2021

pubmed: 15 8 2021

medline: 15 12 2021

entrez: 14 8 2021

Statut: ppublish

Résumé

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). Prospective cohort (EURObservational Research Programme STEMI Registry) of hospitalized STEMI patients with symptom onset <24 h 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 2.5-5.9%). 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 <12 h and 54.4% (region range 37.1-70.1%) for timely reperfusion. 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.

Identifiants

DOI: 10.1093/eurheartj/ehab342 PMID: 34389857

pubmed: 34389857

pii: 6352178

doi: 10.1093/eurheartj/ehab342

doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

Pagination

4536-4549

Investigateurs

Franz Weidinger (F)

Uwe Zeymer (U)

Nicolas Danchin (N)

Peter Ludman (P)

Peter Sinnaeve (P)

Petr Kala (P)

Roberto Ferrari (R)

Aldo P Maggioni (AP)

Artan Goda (A)

Parounak Zelveian (P)

Franz Weidinger (F)

Kiril Karamfilov (K)

Zuzana Motovska (Z)

Uwe Zeymer (U)

Bent Raungaard (B)

Toomas Marandi (T)

Sameh Mohamed Shaheen (SM)

Rosa-Maria Lidon (RM)

Pasi Paavo Karjalainen (PP)

Zviad Kereselidze (Z)

Dimitrios Alexopoulos (D)

David Becker (D)

Martin Quinn (M)

Zaza Iakobishvili (Z)

Hasan Al-Farhan (H)

Masoumeh Sadeghi (M)

Roberto Caporale (R)

Erkin Mirrakhimov (E)

Pranas Serpytis (P)

Andrejs Erglis (A)

Sasko Kedev (S)

Alice May Moore (AM)

Dariusz Dudek (D)

Jacek Legutko (J)

Jorge Mimoso (J)

Gabriel Tatu-Chitoiu (G)

Sinisa Stojkovic (S)

Evgeny Shlyakhto (E)

Khalid F AlHabib (KF)

Matjaz Bunc (M)

Martin Studencan (M)

Mohamed Sami Mourali (MS)

Gani Bajraktari (G)

Marème Konte (M)

Florian Larras (F)

Elin Folkesson Lefrancq (EF)

Souad Mekhaldi (S)

Cécile Laroche (C)

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