Dr. Eugenio Greco,
Decrease in early mortality in STEMI attributed to changing patient profile and behaviour, and improved organisation of care: Data from four French registries over 15 years. European Society of Cardiology Congress; Munich, Germany: 25–29 August 2012Press Release l SessionN. Danchin et al.
The results of this French study, presented by N. Danchin at the ESC Congress 2012 in Munich, showed a decrease by 68%, from 13.7% to 4.4%, in early mortality in STEMI (ST-elevation myocardial infarction) patients. Around one quarter of this mortality reduction could be attributed to a change in patient characteristics and improved organisation of care.The study data was processed from four French nationwide registries of STEMI patients (French registries USIK 1995, USIC 2000, FAST-MI 2005 and FAST-MI 2010), covering more than 15 years.The analysis did indeed show a notable change in population characteristics and improved organisation of care:
N. Danchin concluded that:“... Spectacular progress has been made in the treatment of ST-elevation myocardial infarction, and most of this progress is generally attributed to the more frequent administration of reperfusion therapy, particularly by primary PCI... [but]... the major decline in early mortality for STEMI patients should not be attributed only to improved delivery of reperfusion treatment. The improvement also reflects a profound and preoccupying change in the type of patient having a heart attack, with a particular increase in the number of young women. This increase is concomitant with an increased prevalence of smoking and obesity".
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