TY - JOUR
T1 - The second euro heart survey on acute coronary syndromes
T2 - Characteristics, treatment, and outcome of patients with ACS in Europe and the Mediterranean Basin in 2004
AU - Mandelzweig, Lori
AU - Battler, Alex
AU - Boyko, Valentina
AU - Bueno, Hector
AU - Danchin, Nicolas
AU - Filippatos, Gerasimos
AU - Gitt, Anselm
AU - Hasdai, David
AU - Hasin, Yonathan
AU - Marrugat, Jaume
AU - Van De Werf, Frans
AU - Wallentin, Lars
AU - Behar, Shlomo
PY - 2006/10
Y1 - 2006/10
N2 - Aims: Our study aimed to examine the management of acute coronary syndromes (ACS) in Europe and the Mediterranean basin, and to compare adherence to guidelines with that reported in the first Euro Heart Survey on ACS (EHS-ACS-I), 4 years earlier. Methods and results: In a prospective survey conducted in 2004 (EHS-ACS-II), data describing the characteristics, treatment, and outcome of 6385 patients diagnosed with ACS in 190 medical centres in 32 countries were collected. ACS with ST-elevation was the initial diagnosis in 47% of patients, no ST-elevation in 48%, and undetermined electrocardiographic pattern in 5% of patients. Comparison of data collected in 2000 and 2004 showed similar baseline characteristics, but greater use of recommended medications and coronary interventions in EHS-ACS-II. Among patients with ST-elevation, the use of primary reperfusion increased slightly (from 56 to 64%), with a significant shift from fibrinolytic therapy to primary percutaneous coronary intervention (PPCI). The use of PPCI rose from 37 to 59% among those undergoing primary reperfusion therapy. Analysis of data in 34 centres that participated in both surveys showed even greater improvement with respect to the use of recommended medical therapy, interventions, and outcome. Conclusion: Data from EHS-ACS-II suggest an increase in adherence to guidelines for treatment of ACS in comparison with EHS-ACS-I.
AB - Aims: Our study aimed to examine the management of acute coronary syndromes (ACS) in Europe and the Mediterranean basin, and to compare adherence to guidelines with that reported in the first Euro Heart Survey on ACS (EHS-ACS-I), 4 years earlier. Methods and results: In a prospective survey conducted in 2004 (EHS-ACS-II), data describing the characteristics, treatment, and outcome of 6385 patients diagnosed with ACS in 190 medical centres in 32 countries were collected. ACS with ST-elevation was the initial diagnosis in 47% of patients, no ST-elevation in 48%, and undetermined electrocardiographic pattern in 5% of patients. Comparison of data collected in 2000 and 2004 showed similar baseline characteristics, but greater use of recommended medications and coronary interventions in EHS-ACS-II. Among patients with ST-elevation, the use of primary reperfusion increased slightly (from 56 to 64%), with a significant shift from fibrinolytic therapy to primary percutaneous coronary intervention (PPCI). The use of PPCI rose from 37 to 59% among those undergoing primary reperfusion therapy. Analysis of data in 34 centres that participated in both surveys showed even greater improvement with respect to the use of recommended medical therapy, interventions, and outcome. Conclusion: Data from EHS-ACS-II suggest an increase in adherence to guidelines for treatment of ACS in comparison with EHS-ACS-I.
KW - Acute coronary syndromes
KW - Acute myocardial infarction
KW - Management
KW - Prognosis
KW - Unstable angina
UR - http://www.scopus.com/inward/record.url?scp=33749000304&partnerID=8YFLogxK
U2 - 10.1093/eurheartj/ehl196
DO - 10.1093/eurheartj/ehl196
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AN - SCOPUS:33749000304
SN - 0195-668X
VL - 27
SP - 2285
EP - 2293
JO - European Heart Journal
JF - European Heart Journal
IS - 19
ER -