Euro Heart Survey 2009 Snapshot: regional variations in presentation and management of patients with AMI in 47 countries
Year: 2013
Type: article
Study design: Observational Study
Abstract: AIMS: Detailed data on patients admitted for acute myocardial infarction (AMI) on a European-wide basis are lacking. The Euro Heart Survey 2009 Snapshot was designed to assess characteristics, management, and hospital outcomes of AMI patients throughout European Society of Cardiology (ESC) member countries in a contemporary 'real-world' setting, using a methodology designed to improve the representativeness of the survey. METHODS: Member countries of the ESC were invited to participate in a 1-week survey of all patients admitted for documented AMI in December 2009. Data on baseline characteristics, type of AMI, management, and complications were recorded using a dedicated electronic form. In addition, we used data collected during the same time period in national registries in Sweden, England, and Wales. Data were centralized at the European Heart House. RESULTS: Overall, 4236 patients (mean age 66±13 years; 31% women) were included in the study in 47 countries. Sixty per cent of patients had ST-segment elevation myocardial infarction, with 50% having primary percutaneous coronary intervention and 21% fibrinolysis. Aspirin and thienopyridines were used in >90%. Unfractionated and low-molecular-weight heparins were the most commonly used anticoagulants. Statins, beta-blockers, and angiotensin-converting enzyme inhibitors were used in >80% of the patients. In-hospital mortality was 6.2%. Regional differences were observed, both in terms of population characteristics, management, and outcomes. CONCLUSIONS: In-hospital mortality of patients admitted for AMI in Europe is low. Although regional variations exist in their presentation and management, differences are limited and have only moderate impact on early outcomes.
Authors: Etienne Puymirat, Alex Battler, John Birkhead, Hector Bueno, Peter Clemmensen, Yves Cottin, Keith AA Fox, Bulent Gorenek, Christian Hamm, Kurt Huber, Maddalena Lettino, Bertil Lindahl, Christian Müller, Alexander Parkhomenko, Susanna Price, Tom Quinn, Francois Schiele, Maarten Simoons, Gabriel Tatu-Chitoiu, Marco Tubaro, Christiaan Vrints, Doron Zahger, Uwe Zeymer, Nicolas Danchin, on behalf of the EHS 2009 snapshot participants
Institutions: Inserm, Assistance Publique – Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Paris Cardiovascular Research Center, Université Paris Descartes, Tel Aviv University, University College London, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Rigshospitalet, CHU Dijon Bourgogne, University of Edinburgh, Eskişehir Osmangazi University, Kerckhoff Klinik, Wilhelminen Hospital, IRCCS Humanitas Research Hospital, Uppsala University, University Hospital of Basel, Imperial College London, University of Surrey, Centre Hospitalier Universitaire de Besançon, Clinical Emergency Hospital Bucharest, Ospedale San Filippo Neri, University of Antwerp, Antwerp University Hospital, Ben-Gurion University of the Negev, Stiftung Institut für Herzinfarktforschung, Klinikum Ludwigshafen
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2139678313