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The acute coronary syndrome (ACS) comprises a variety of clinical scenari ranging from unstable angina pectoris to non-ST-segment elevation myocardial infarction (NSTEMI) and ST-segment elevation myocardial infarction (STEMI). The management of these different types of ACS have been rapidly evolving during the past decade. The highest short- term mortality is observed still in patients with STEMI defined by chest pain or equivalent symptoms and ST segment elevations or a left bundle block (LBBB) in the diagnostic Electrocardiogram (ECG) and confirmation by elevation of cardiac markers (preferred troponin). Based on the results of randomised controlled trials, the European Society of Cardiology (ESC) has been providing practice guidelines relevant to the treatment of STEMI.
Previous ACS-Surveys and Snapshot within the Euro Heart Survey Programme showed gaps between recommendations by guidelines and their implementation into clinical practice. In addition wide variations in the treatment of STEMI between countries have been noticed, especially in the use of primary percutaneous coronary intervention (PCI). Large national quality control registries of consecutive patients with ACS have shown that adherence to guidelines is associated with an improvement of care, and a significant reduction of hospital mortality in clinical practice. Therefore it is of interest how adherence to guidelines relates to outcomes in a multinational observational study.
The main objective of this general, prospective, multicentre and observational registry is to describe the demographic, clinical, and biological characteristics of patients with STEMI admitted to a representative setting of cardiology centres (with and without PCI facilities) in ESC-member countries in Europe and beyond. The target population are patients with chest pain or equivalent symptoms of more than 20 minutes duration within the last 24 hours prior to admission to hospital and ST segment elevations or LBBB in the diagnostic ECG.
This study is open to all ESC member and affiliate member national cardiac societies. You are welcome to join us!The purpose of this registry is to assess the feasibility of recruitment, the appropriateness of the dataset collected and the suitability of the expected enrolment.
The ESC Associations initiating this registry are the Association for Acute CardioVascular Care (ACVC) and the European Association of Percutaneous Cardiovascular Interventions (EAPCI).The Executive Committee of the registry is co-chaired by: Uwe Zeymer, Nicolas Danchin, Franz Weidinger and Peter Ludman.
Franz Weidinger, AT, Co-ChairUwe Zeymer, DE, Co-ChairNicolas Danchin, FR, Co-ChairPeter Ludman, UK, Co-ChairPeter Sinnaeve, BEPetr Kala, CZRoberto Ferrari, IT, Chairman of the EORP Oversight Committee Aldo P. Maggioni, IT, EORP Scientific Coordinator
The Steering Committee is composed of one National Coordinator per participating country. Artan Goda, ALParounak Zelveian, AMFranz Weidinger, ATKiril Karamfilov, BGZuzana Motovska, CZUwe Zeymer, DEBent Raungaard, DKToomas Marandi, EESameh Mohamed Shaheen, EGRosa-Maria Lidon, ESPasi Karjalainen, FIZviad Kereselidze, GEDimitrios Alexopoulos, GRDavid Becker, HUMartin Quinn, IEZaza Iakobishvili, ILHasan Al-Farhan, IQMasoumeh Sadeghi, IRRoberto Caporale, ITFrancesco Romeo, ITErkin Mirrakhimov, KGPranas Serpytis, LTAndrejs Erglis, LVSasko Kedev, MKMatthew Mercieca Balbi, MTAlice May Moore, MTDariusz Dudek, PLJacek Legutko, PLJorge Mimoso, PTGabriel Tatu-Chitoiu, ROSinisa Stojkovic, RSEvgeny Shlyakhto, RUKhalid F AlHabib, SAMatjaz Bunc, SIMartin Studencan, SKMohamed Sami Mourali, TNGani Bajraktari, XK
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