Care of patients with ST-elevation myocardial infarction: an international analysis
of quality indicators in the acute coronary syndrome STEMI Registry of the EURObservational
Research Programme and ACVC and EAPCI Associations of the European Society of Cardiology
in 11 462 patients
Peter, Ludman ✉; Uwe, Zeymer; Nicolas, Danchin; Petr, Kala; Cecile, Laroche; Masoumeh, Sadeghi; Roberto, Caporale; Sameh Mohamed, Shaheen; Jacek, Legutko; Zaza, Iakobishvili; Khalid F., Alhabib; Zuzana, Motovska; Martin, Studencan; Jorge, Mimoso; David, Becker [Becker, Dávid (Orvostudomány), author] Department of Cardiology (SU
/ FM / C); Dimitrios, Alexopoulos; Zviad, Kereseselidze; Sinisa, Stojkovic; Parounak, Zelveian; Artan, Goda; Erkin, Mirrakhimov; Gani, Bajraktari; Hasan Ali, Farhan; Pranas, Serpytis; Bent, Raungaard; Toomas, Marandi; Alice May, Moore; Martin, Quinn; Pasi Paavo, Karjalainen; Gabriel, Tatu-Chitoiu; Chris P., Gale; Aldo P., Maggioni; Franz, Weidinger; ESC [Collaborative Organization]; Goda, A [Collaborator]; Shuka, N [Collaborator]; Pavli, E [Collaborator]; Tafaj, E [Collaborator]; Gishto, T [Collaborator]; Dibra, A [Collaborator]; Duka, A [Collaborator]; Gjana, A [Collaborator]; Kristo, A [Collaborator]; Knuti, G [Collaborator]; Demiraj, A [Collaborator]; Dado, E [Collaborator]; Hasimi, E [Collaborator]; Simoni, L [Collaborator]; Siqeca, M [Collaborator]; Sisakian, H [Collaborator]; Hayrapetyan, H [Collaborator]; Markosyan, S [Collaborator]; Galustyan, L [Collaborator]; Arustamyan, N [Collaborator]; Kzhdryan, H [Collaborator]; Pepoyan, S [Collaborator]; Zirkik, A [Collaborator]; Von Lewinski, D [Collaborator]; Paetzold, S [Collaborator]; Kienzl, I [Collaborator]; Matyas, K [Collaborator]; Neunteufl, T [Collaborator]; Nikfardjam, M [Collaborator]; Neuhold, U [Collaborator]; Mihalcz, A [Collaborator]; Glaser, F [Collaborator]; Steinwender, C [Collaborator]; Reiter, C [Collaborator]; Grund, M [Collaborator]; Hrncic, D [Collaborator]; Hoppe, U [Collaborator]; Hammerer, M [Collaborator]; Hinterbuchner, L [Collaborator]; Hengstenberg, C [Collaborator]; Delle Karth, G [Collaborator]; Lang, I [Collaborator]; Weidinger, F [Collaborator]; Winkler, W [Collaborator]; Hasun, M [Collaborator]; Kastner, J [Collaborator]; Havel, C [Collaborator]; Derntl, M [Collaborator]; Oberegger, G [Collaborator]; Hajos, J [Collaborator]; Adlbrecht, C [Collaborator]; Publig, T [Collaborator]; Leitgeb, M-C [Collaborator]; Wilfing, R [Collaborator]; Jirak, P [Collaborator]; Ho, C-Y [Collaborator]; Puskas, L [Collaborator]; Schrutka, L [Collaborator]; Spinar, J [Collaborator]; Parenica, J [Collaborator]; Hlinomaz, O [Collaborator]; Fendrychova, V [Collaborator]; Semenka, J [Collaborator]; Sikora, J [Collaborator]; Sitar, J [Collaborator]; Groch, L [Collaborator]; Rezek, M [Collaborator]; Novak, M [Collaborator]; Kramarikova, P [Collaborator]; Stasek, J [Collaborator]; Dusek, J [Collaborator]; Zdrahal, P [Collaborator]; Polasek, R [Collaborator]; Karasek, J [Collaborator]; Seiner, J [Collaborator]; Sukova, N [Collaborator]; Varvarovsky, I [Collaborator]; Lazarák, T [Collaborator]; Novotny, V [Collaborator]; Matejka, J [Collaborator]; Rokyta, R [Collaborator]; Volovar, S [Collaborator]; Belohlavek, J [Collaborator]; Motovska, Z [Collaborator]; Siranec, M [Collaborator]; Kamenik, M [Collaborator]; Kralik, R [Collaborator]; Raungaard, B [Collaborator]; Ravkilde, J [Collaborator]; Jensen, S E [Collaborator]; Villadsen, A [Collaborator]; Villefrance, K [Collaborator]; Schmidt Skov, C [Collaborator]; Maeng, M [Collaborator]; Moeller, K [Collaborator]; Hasan-Ali, H [Collaborator]; Ahmed, T A [Collaborator]; Hassan, M [Collaborator]; ElGuindy, A [Collaborator]; Farouk Ismail, M [Collaborator]; Ibrahim Abd El-Aal, A [Collaborator]; El-Sayed Gaafar, A [Collaborator]; Magdy Hassan, H [Collaborator]; Ahmed Shafie, M [Collaborator]; Nabil El-Khouly, M [Collaborator]; Bendary, A [Collaborator]; Darwish, M [Collaborator]; Ahmed, Y [Collaborator]; Amin, O A [Collaborator]; AbdElHakim, A [Collaborator]; Abosaif, K [Collaborator]; Kandil, H [Collaborator]; G Galal, M A [Collaborator]; El Hefny, E E [Collaborator]; El-Sayed, M [Collaborator]; Aly, K [Collaborator]; Mokarrab, M [Collaborator]; Osman, M [Collaborator]; Abdelhamid, M [Collaborator]; Mantawy, S [Collaborator]; Ali, M R [Collaborator]; Kaky, S D [Collaborator]; Khalil, V A [Collaborator]; A Saraya, M E [Collaborator]; Talaat, A [Collaborator]; Nabil, M [Collaborator]; Mounir, W M [Collaborator]; Mahmoud A Aransa, K [Collaborator]; Kazamel, G [Collaborator]; Anwar, S [Collaborator]; Al-Habbaa, A [Collaborator]; Abd El Monem, M [Collaborator]; Ismael, A [Collaborator]; Amin Abu-Sheaishaa, M [Collaborator]; Abd Rabou, M M [Collaborator]; A Hammouda, T M [Collaborator]; Moaaz, M [Collaborator]; Elkhashab, K [Collaborator]; Ragab, T [Collaborator]; Rashwan, A [Collaborator]; Rmdan, A [Collaborator]; AbdelRazek, G [Collaborator]; Ebeid, H [Collaborator]; Soliman Ghareeb, H [Collaborator]; Farag, N [Collaborator]; Zaki, M [Collaborator]; Seleem, M [Collaborator]; Torki, A [Collaborator]; Youssef, M [Collaborator]; AlLah Nasser, N A [Collaborator]; Rafaat, A [Collaborator]; Selim, H [Collaborator]; Makram, M M [Collaborator]; Khayyal, M [Collaborator]; Malasi, K [Collaborator]; Madkour, A [Collaborator]; Kolib, M [Collaborator]; Alkady, H [Collaborator]; Nagah, H [Collaborator]; Yossef, M [Collaborator]; Wafa, A [Collaborator]; Mahfouz, E [Collaborator]; Faheem, G [Collaborator]; Magdy Moris, M [Collaborator]; Ragab, A [Collaborator]; Ghazal, M [Collaborator]; Mabrouk, A [Collaborator]; Hassan, M [Collaborator]; El-Masry, M [Collaborator]; Naseem, M [Collaborator]; Samir, S [Collaborator]; Marandi, T [Collaborator]; Reinmets, J [Collaborator]; Allvee, M [Collaborator]; Saar, A [Collaborator]; Ainla, T [Collaborator]; Vaide, A [Collaborator]; Kisseljova, M [Collaborator]; Pakosta, U [Collaborator]; Eha, J [Collaborator]; Lotamois, K [Collaborator]; Sia, J [Collaborator]; Myllymaki, J [Collaborator]; Pinola, T [Collaborator]; Karjalainen, P P [Collaborator]; Paana, T [Collaborator]; Mikkelsson, J [Collaborator]; Ampio, M [Collaborator]; Tsivilasvili, J [Collaborator]; Zurab, P [Collaborator]; Kereselidze, Z [Collaborator]; Agladze, R [Collaborator]; Melia, A [Collaborator]; Gogoberidze, D [Collaborator]; Khubua, N [Collaborator]; Totladze, L [Collaborator]; Metreveli, I [Collaborator]; Chikovani, A [Collaborator]; Eitel, I [Collaborator]; Pöss, J [Collaborator]; Werner, M [Collaborator]; Constantz, A [Collaborator]; Ahrens, C [Collaborator]; Zeymer, U [Collaborator]; Tolksdorf, H [Collaborator]; Klinger, S [Collaborator]; Sack, S [Collaborator]; Heer, T [Collaborator]; Lekakis, J [Collaborator]; Kanakakis, I [Collaborator]; Xenogiannis, I [Collaborator]; Ermidou, K [Collaborator]; Makris, N [Collaborator]; Ntalianis, A [Collaborator]; Katsaros, F [Collaborator]; Revi, E [Collaborator]; Kafkala, K [Collaborator]; Mihelakis, E [Collaborator]; Diakakis, G [Collaborator]; Grammatikopoulos, K [Collaborator]; Voutsinos, D [Collaborator]; Alexopoulos, D [Collaborator]; Xanthopoulou, I [Collaborator]; Mplani, V [Collaborator]; Foussas, S [Collaborator]; Papakonstantinou, N [Collaborator]; Patsourakos, N [Collaborator]; Dimopoulos, A [Collaborator]; Derventzis, A [Collaborator]; Athanasiou, K [Collaborator]; Vassilikos, V P [Collaborator]; Papadopoulos, C [Collaborator]; Tzikas, S [Collaborator]; Vogiatzis, I [Collaborator]; Datsios, A [Collaborator]; Galitsianos, I [Collaborator]; Koutsampasopoulos, K [Collaborator]; Grigoriadis, S [Collaborator]; Douras, A [Collaborator]; Baka, N [Collaborator]; Spathis, S [Collaborator]; Kyrlidis, T [Collaborator]; Hatzinikolaou, H [Collaborator]; Kiss, R G [Collaborator]; Becker, D [Collaborator]; Nowotta, F [Collaborator]; Tóth, K [Collaborator]; Szabó, S [Collaborator]; Lakatos, C [Collaborator]; Jambrik, Z [Collaborator]; Ruzsa, J [Collaborator]; Ruzsa, Z [Ruzsa, Zoltán (intervenciós kard...), Collaborator]; Róna, S [Collaborator]; Toth, J [Collaborator]; Vargane Kosik, A [Collaborator]; B Toth, K S [Collaborator]; Nagy, G G [Nagy, Gergely György (orvostudomány, eg...), Collaborator]; Ondrejkó, Z [Collaborator]; Körömi, Z [Collaborator]; Botos, B [Collaborator]; Pourmoghadas, M [Collaborator]; Salehi, A [Collaborator]; Massoumi, G [Collaborator]; Sadeghi, M [Collaborator]; Soleimani, A [Collaborator]; Sarrafzadegan, N [Collaborator]; Roohafza, H [Collaborator]; Azarm, M [Collaborator]; Mirmohammadsadeghi, A [Collaborator]; Rajabi, D [Collaborator]; Rahmani, Y [Collaborator]; Siabani, S [Collaborator]; Najafi, F [Collaborator]; Hamzeh, B [Collaborator]; Karim, H [Collaborator]; Siabani, H [Collaborator]; Saleh, N [Collaborator]; Charehjoo, H [Collaborator]; Zamzam, L [Collaborator]; Al-Temimi, G [Collaborator]; Al-Farhan, H [Collaborator]; Al-Yassin, A [Collaborator]; Mohammad, A [Collaborator]; Ridha, A [Collaborator]; Al-Saedi, G [Collaborator]; Atabi, N [Collaborator]; Sabbar, O [Collaborator]; Mahmood, S [Collaborator]; Dakhil, Z [Collaborator]; Yaseen, I F [Collaborator]; Almyahi, M [Collaborator]; Alkenzawi, H [Collaborator]; Alkinani, T [Collaborator]; Alyacopy, A [Collaborator]; Kearney, P [Collaborator]; Twomey, K [Collaborator]; Iakobishvili, Z [Collaborator]; Shlomo, N [Collaborator]; Beigel, R [Collaborator]; Caldarola, P [Collaborator]; Rutigliano, D [Collaborator]; Sublimi Saponetti, L [Collaborator]; Locuratolo, N [Collaborator]; Palumbo, V [Collaborator]; Scherillo, M [Collaborator]; Formigli, D [Collaborator]; Canova, P [Collaborator]; Musumeci, G [Collaborator]; Roncali, F [Collaborator]; Metra, M [Collaborator]; Lombardi, C [Collaborator]; Visco, E [Collaborator]; Rossi, L [Collaborator]; Meloni, L [Collaborator]; Montisci, R [Collaborator]; Pippia, V [Collaborator]; Marchetti, M F [Collaborator]; Congia, M [Collaborator]; Cacace, C [Collaborator]; Luca, G [Collaborator]; Boscarelli, G [Collaborator]; Indolfi, C [Collaborator]; Ambrosio, G [Collaborator]; Mongiardo, A [Collaborator]; Spaccarotella, C [Collaborator]; De Rosa, S [Collaborator]; Canino, G [Collaborator]; Critelli, C [Collaborator]; Caporale, R [Collaborator]; Chiappetta, D [Collaborator]; Battista, F [Collaborator]; Gabrielli, D [Collaborator]; Marziali, A [Collaborator]; Bernabò, P [Collaborator]; Navazio, A [Collaborator]; Guerri, E [Collaborator]; Manca, F [Collaborator]; Gobbi, M [Collaborator]; Oreto, G [Collaborator]; Andò, G [Collaborator]; Carerj, S [Collaborator]; Saporito, F [Collaborator]; Cimmino, M [Collaborator]; Rigo, F [Collaborator]; Zuin, G [Collaborator]; Tuccillo, B [Collaborator]; Scotto di Uccio, F [Collaborator]; Irace, L [Collaborator]; Lorenzoni, G [Collaborator]; Meloni, I [Collaborator]; Merella, P [Collaborator]; Polizzi, G M [Collaborator]; Pino, R [Collaborator]; Marzilli, M [Collaborator]; Morrone, D [Collaborator]; Caravelli, P [Collaborator]; Orsini, E [Collaborator]; Mosa, S [Collaborator]; Piovaccari, G [Collaborator]; Santarelli, A [Collaborator]; Cavazza, C [Collaborator]; Romeo, F [Collaborator]; Fedele, F [Collaborator]; Mancone, M [Collaborator]; Straito, M [Collaborator]; Salvi, N [Collaborator]; Scarparo, P [Collaborator]; Severino, P [Collaborator]; Razzini, C [Collaborator]; Massaro, G [Collaborator]; Cinque, A [Collaborator]; Gaudio, C [Collaborator]; Barillà, F [Collaborator]; Torromeo, C [Collaborator]; Porco, L [Collaborator]; Mei, M [Collaborator]; Iorio, R [Collaborator]; Nassiacos, D [Collaborator]; Barco, B [Collaborator]; Sinagra, G [Collaborator]; Falco, L [Collaborator]; Priolo, L [Collaborator]; Perkan, A [Collaborator]; Strana, M [Collaborator]; Bajraktari, G [Collaborator]; Percuku, L [Collaborator]; Berisha, G [Collaborator]; Mziu, B [Collaborator]; Beishenkulov, M [Collaborator]; Abdurashidova, T [Collaborator]; Toktosunova, A [Collaborator]; Kaliev, K [Collaborator]; Serpytis, P [Collaborator]; Serpytis, R [Collaborator]; Butkute, E [Collaborator]; Lizaitis, M [Collaborator]; Broslavskyte, M [Collaborator]; Xuereb, R G [Collaborator]; Moore, A M [Collaborator]; Mercieca Balbi, M [Collaborator]; Paris, E [Collaborator]; Buttigieg, L [Collaborator]; Musial, W [Collaborator]; Dobrzycki, S [Collaborator]; Dubicki, A [Collaborator]; Kazimierczyk, E [Collaborator]; Tycinska, A [Collaborator]; Wojakowski, W [Collaborator]; Kalanska-Lukasik, B [Collaborator]; Ochala, A [Collaborator]; Wanha, W [Collaborator]; Dworowy, S [Collaborator]; Sielski, J [Collaborator]; Janion, M [Collaborator]; Janion-Sadowska, A [Collaborator]; Dudek, D [Collaborator]; Wojtasik-Bakalarz, J [Collaborator]; Bryniarski, L [Collaborator]; Peruga, J Z [Collaborator]; Jonczyk, M [Collaborator]; Jankowski, L [Collaborator]; Klecha, A [Collaborator]; Legutko, J [Collaborator]; Michalowska, J [Collaborator]; Brzezinski, M [Collaborator]; Kozmik, T [Collaborator]; Kowalczyk, T [Collaborator]; Adamczuk, J [Collaborator]; Maliszewski, M [Collaborator]; Kuziemka, P [Collaborator]; Plaza, P [Collaborator]; Jaros, A [Collaborator]; Pawelec, A [Collaborator]; Sledz, J [Collaborator]; Bartus, S [Collaborator]; Zmuda, W [Collaborator]; Bogusz, M [Collaborator]; Wisnicki, M [Collaborator]; Szastak, G [Collaborator]; Adamczyk, M [Collaborator]; Suska, M [Collaborator]; Czunko, P [Collaborator]; Opolski, G [Collaborator]; Kochman, J [Collaborator]; Tomaniak, M [Collaborator]; Miernik, S [Collaborator]; Paczwa, K [Collaborator]; Witkowski, A [Collaborator]; Opolski, M P [Collaborator]; Staruch, A D [Collaborator]; Kalarus, Z [Collaborator]; Honisz, G [Collaborator]; Mencel, G [Collaborator]; Swierad, M [Collaborator]; Podolecki, T [Collaborator]; Marques, J [Collaborator]; Azevedo, P [Collaborator]; Pereira, M A [Collaborator]; Gaspar, A [Collaborator]; Monteiro, S [Collaborator]; Goncalves, F [Collaborator]; Leite, L [Collaborator]; Mimoso, J [Collaborator]; Manuel Lopes Dos Santos, W [Collaborator]; Amado, J [Collaborator]; Pereira, D [Collaborator]; Silva, B [Collaborator]; Caires, G [Collaborator]; Neto, M [Collaborator]; Rodrigues, R [Collaborator]; Correia, A [Collaborator]; Freitas, D [Collaborator]; Lourenco, A [Collaborator]; Ferreira, F [Collaborator]; Sousa, F [Collaborator]; Portugues, J [Collaborator]; Calvo, L [Collaborator]; Almeida, F [Collaborator]; Alves, M [Collaborator]; Silva, A [Collaborator]; Caria, R [Collaborator]; Seixo, F [Collaborator]; Militaru, C [Collaborator]; Ionica, E [Collaborator]; Tatu-Chitoiu, G [Collaborator]; Istratoaie, O [Collaborator]; Florescu Russian, M [Collaborator]; Lipnitckaia, E [Collaborator]; Osipova, O [Collaborator]; Konstantinov, S [Collaborator]; Bukatov, V [Collaborator]; Vinokur, T [Collaborator]; Egorova, E [Collaborator]; Nefedova, E [Collaborator]; Levashov, S [Collaborator]; Gorbunova, A [Collaborator]; Redkina, M [Collaborator]; Karaulovskaya, N [Collaborator]; Bijieva, F [Collaborator]; Babich, N [Collaborator]; Smirnova, O [Collaborator]; Filyanin, R [Collaborator]; Eseva, S [Collaborator]; Kutluev, A [Collaborator]; Chlopenova, A [Collaborator]; Shtanko, A [Collaborator]; Kuppar, E [Collaborator]; Shaekhmurzina, E [Collaborator]; Ibragimova, M [Collaborator]; Mullahmetova, M [Collaborator]; Chepisova, M [Collaborator]; Kuzminykh, M [Collaborator]; Betkaraeva, M [Collaborator]; Namitokov, A [Collaborator]; Khasanov, N [Collaborator]; Baleeva, L [Collaborator]; Galeeva, Z [Collaborator]; Magamedkerimova, F [Collaborator]; Ivantsov, E [Collaborator]; Tavlueva, E [Collaborator]; Kochergina, A [Collaborator]; Sedykh, D [Collaborator]; Kosmachova, E [Collaborator]; Skibitskiy, V [Collaborator]; Porodenko, N [Collaborator]; Namitokov, A [Collaborator]; Litovka, K [Collaborator]; Ulbasheva, E [Collaborator]; Niculina, S [Collaborator]; Petrova, M [Collaborator]; Harkov, E [Collaborator]; Tsybulskaya, N [Collaborator]; Lobanova, A [Collaborator]; Chernova, A [Collaborator]; Kuskaeva, A [Collaborator]; Kuskaev, A [Collaborator]; Ruda, M [Collaborator]; Zateyshchikov, D [Collaborator]; Gilarov, M [Collaborator]; Konstantinova, E [Collaborator]; Koroleva, O [Collaborator]; Averkova, A [Collaborator]; Zhukova, N [Collaborator]; Kalimullin, D [Collaborator]; Borovkova, N [Collaborator]; Tokareva, A [Collaborator]; Buyanova, M [Collaborator]; Khaisheva, L [Collaborator]; Pirozhenko, A [Collaborator]; Novikova, T [Collaborator]; Yakovlev, A [Collaborator]; Tyurina, T [Collaborator]; Lapshin, K [Collaborator]; Moroshkina, N [Collaborator]; Kiseleva, M [Collaborator]; Fedorova, S [Collaborator]; Krylova, L [Collaborator]; Duplyakov, D [Collaborator]; Semenova, Y [Collaborator]; Rusina, A [Collaborator]; Ryabov, V [Collaborator]; Syrkina, A [Collaborator]; Demianov, S [Collaborator]; Reitblat, O [Collaborator]; Artemchuk, A [Collaborator]; Efremova, E [Collaborator]; Makeeva, E [Collaborator]; Menzorov, M [Collaborator]; Shutov, A [Collaborator]; Klimova, N [Collaborator]; Shevchenko, I [Collaborator]; Elistratova, O [Collaborator]; Kostyuckova, O [Collaborator]; Islamov, R [Collaborator]; Budyak, V [Collaborator]; Ponomareva, E [Collaborator]; Ullah Jan, U [Collaborator]; Alshehri, A M [Collaborator]; Sedky, E [Collaborator]; Alsihati, Z [Collaborator]; Mimish, L [Collaborator]; Selem, A [Collaborator]; Malik, A [Collaborator]; Majeed, O [Collaborator]; Altnji, I [Collaborator]; AlShehri, M [Collaborator]; Aref, A [Collaborator]; AlHabib, K [Collaborator]; AlDosary, M [Collaborator]; Tayel, S [Collaborator]; Abd AlRahman, M [Collaborator]; Asfina, K N [Collaborator]; Abdin Hussein, G [Collaborator]; Butt, M [Collaborator]; Markovic Nikolic, N [Collaborator]; Obradovic, S [Collaborator]; Djenic, N [Collaborator]; Brajovic, M [Collaborator]; Davidovic, A [Collaborator]; Romanovic, R [Collaborator]; Novakovic, V [Collaborator]; Dekleva, M [Collaborator]; Spasic, M [Collaborator]; Dzudovic, B [Collaborator]; Jovic, Z [Collaborator]; Cvijanovic, D [Collaborator]; Veljkovic, S [Collaborator]; Ivanov, I [Collaborator]; Cankovic, M [Collaborator]; Jarakovic, M [Collaborator]; Kovacevic, M [Collaborator]; Trajkovic, M [Collaborator]; Mitov, V [Collaborator]; Jovic, A [Collaborator]; Hudec, M [Collaborator]; Gombasky, M [Collaborator]; Sumbal, J [Collaborator]; Bohm, A [Collaborator]; Baranova, E [Collaborator]; Kovar, F [Collaborator]; Samos, M [Collaborator]; Podoba, J [Collaborator]; Kurray, P [Collaborator]; Obona, T [Collaborator]; Remenarikova, A [Collaborator]; Kollarik, B [Collaborator]; Verebova, D [Collaborator]; Kardosova, G [Collaborator]; Studencan, M [Collaborator]; Alusik, D [Collaborator]; Macakova, J [Collaborator]; Kozlej, M [Collaborator]; Bayes-Genis, A [Collaborator]; Sionis, A [Collaborator]; Garcia Garcia, C [Collaborator]; Lidon, R-M [Collaborator]; Duran Cambra, A [Collaborator]; Labata Salvador, C [Collaborator]; Rueda Sobella, F [Collaborator]; Sans Rosello, J [Collaborator]; Vila Perales, M [Collaborator]; Oliveras Vila, T [Collaborator]; Ferrer Massot, M [Collaborator]; Bañeras, J [Collaborator]; Lekuona, I [Collaborator]; Zugazabeitia, G [Collaborator]; Fernandez-Ortiz, A [Collaborator]; Viana Tejedor, A [Collaborator]; Ferrera, C [Collaborator]; Alvarez, V [Collaborator]; Diaz-Castro, O [Collaborator]; Agra-Bermejo, R M [Collaborator]; Gonzalez-Cambeiro, C [Collaborator]; Gonzalez-Babarro, E [Collaborator]; Domingo-Del Valle, J [Collaborator]; Royuela, N [Collaborator]; Burgos, V [Collaborator]; Canteli, A [Collaborator]; Castrillo, C [Collaborator]; Cobo, M [Collaborator]; Ruiz, M [Collaborator]; Abu-Assi, E [Collaborator]; Garcia Acuna, J M [Collaborator]
Aims To use quality indicators to study the management of ST-segment elevation myocardial
infarction (STEMI) in different regions. Methods and results Prospective cohort study
of STEM I within 24 h of symptom onset (11 462 patients, 196 centres, 26 European
Society of Cardiology members, and 3 affiliated countries). The median delay between
arrival at a percutaneous cardiovascular intervention (PCI) centre and primary PCI
was 40 min (interquartile range 20-74) with 65.8% receiving PCI within guideline recommendation
of 60 min. A third of patients (33.2%) required transfer from their initial hospital
to one that could perform emergency PCI for whom only 27.2% were treated within the
quality indicator recommendation of 120 min. Radial access was used in 56.6% of all
primary PCI, but with large geographic variation, from 76.4 to 9.1%. Statins were
prescribed at discharge to 98.7% of patients, with little geographic variation. Of
patients with a history of heart failure or a documented left ventricular ejection
fraction <= 40%, 84.0% were discharged on an angiotensin-converting enzyme inhibitor/angiotensin
receptor blocker and 88.7% were discharged on beta-blockers. Conclusion Care for STEMI
shows wide geographic variation in the receipt of timely primary PCI, and is in contrast
with the more uniform delivery of guideline-recommended pharmacotherapies at time
of hospital discharge. [GRAPHICS] .