European Society of Cardiology
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Guidelines & Surveys
Welcome to the European Society of Cardiology. Our mission: to reduce the burden of cardiovascular disease in Europe

ACS II Survey 

The second Euro Heart Survey on Acute Corronary Syndromes

Euro Heart Survey Logo 

Euro Heart Survey Logo
Topics: Acute Coronary Syndromes (ACS)

Expert Committee

Schlomo Behar, Chairperson
Lori Mandelzweig, Alex Battler, Valentina Boyko, Hector Bueno, Nicolas Danchin, Gerasimos Filippatos, Anselm Gitt, David Hasdai, Yonathan Hasin, Jaume Marrugat, Frans Van de Werf, Lars Wallentin

Protocol Summary

Acute coronary syndromes (ACS) is the most common reason for cardiac hospitalization in the western world and its prevalence is constantly increasing in most Eastern European countries. ACS includes a variety of clinical entities ranging from unstable angina and non-ST segment elevation myocardial infarction to persistent ST segment elevation myocardial infarction. New pharmacological and technical therapeutic approaches to ACS have been introduced into clinical practice in recent years resulting in a significant reduction in mortality and heterogeneity in the management and treatment of patients with ACS. New guidelines (1-2) defining new and effective modalities in the management and treatment of ACS have been recently published by authoritative medical corporations and societies, but it remains unclear how often clinicians adhere to them in "real world" practice.

The purpose of this survey was:

  • To evaluate the frequencies and outcomes of the different types of ACS in a sample of representative medical centers in participating member countries.
  • To compare the characteristics and outcome of the patients in the EHS-ACS II cohort with those of the first EHS on ACS and other cohorts in trials or registries.
  • To compare the management/therapy decisions made by attending physicians with the new guidelines.
  • To characterize the management and therapy of the different types of ACS in the participating countries and in the different types of hospitals.
  • To assess medical resource utilization in the treatment of ACS in the participating countries and in the different types of hospitals.


The Main Manuscript reporting the results of this survey was published in Euro Heart Journal.

Review all Euro Heart Survey publications on ACS.

The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.