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. 2014 Aug 1;35(29):1957-70.
doi: 10.1093/eurheartj/eht529. Epub 2014 Jan 12.

Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries

Steen D Kristensen  1 , Kristina G Laut  2 , Jean Fajadet  3 , Zuzana Kaifoszova  4 , Petr Kala  5 , Carlo Di Mario  6 , William Wijns  7 , Peter Clemmensen  8 , Vaja Agladze  9 , Loizos Antoniades  10 , Khalid F Alhabib  11 , Menko-Jan De Boer  12 , Marc J Claeys  13 , Dan Deleanu  14 , Dariusz Dudek  15 , Andrejs Erglis  16 , Martine Gilard  17 , Omer Goktekin  18 , Giulio Guagliumi  19 , Thorarinn Gudnason  20 , Kim Wadt Hansen  21 , Kurt Huber  22 , Stefan James  23 , Tomáš Janota  24 , Siobhan Jennings  25 , Olli Kajander  26 , John Kanakakis  27 , Kiril K Karamfiloff  28 , Sasko Kedev  29 , Ran Kornowski  30 , Peter F Ludman  31 , Béla Merkely  32 , Davor Milicic  33 , Ruslan Najafov  34 , Francesca A Nicolini  35 , Marko Noč  36 , Miodrag Ostojic  37 , Hélder Pereira  38 , Dragana Radovanovic  39 , Manel Sabaté  40 , Mohamed Sobhy  41 , Maxim Sokolov  42 , Martin Studencan  43 , Ibrahim Terzic  44 , Steffen Wahler  45 , Petr Widimsky  46 ; European Association for Percutaneous Cardiovascular Interventions
Collaborators, Affiliations
Free article

Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries

Steen D Kristensen et al. Eur Heart J. .
Free article

Erratum in

  • Eur Heart J. 2014 Oct 7;35(38):2697

Abstract

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.

Keywords: Europe; Primary percutaneous coronary intervention; STEMI; Treatment variation.

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