PMID- 18344036
OWN - NLM
STAT- MEDLINE
DCOM- 20080715
LR  - 20191210
IS  - 0340-9937 (Print)
IS  - 0340-9937 (Linking)
VI  - 33
IP  - 2
DP  - 2008 Mar
TI  - [STEMI network Essen--results after 1 year].
PG  - 153-7
LID - 10.1007/s00059-008-3091-7 [doi]
AB  - The myocardial infarction network "Herzinfarktverbund Essen" was initiated on 
      September 1, 2004 in order to establish a standardized strategy and therapy for 
      patients with ST elevation myocardial infarction (STEMI) in the city of Essen. 
      The primary goal is the immediate reopening of the infarcted vessel by direct 
      transfer of the patient to a hospital with 24-h stand-by catheter laboratory. The 
      first 1-year follow-up, completed on August 31, 2006, showed a low 1-year 
      mortality rate (11.2%), whereby 7.6% of the patients died in hospital. There was 
      a significant dependency of mortality on age, the prehospital stability of 
      cardiovascular circulation, the amount of left ventricular damage, the TIMI flow 
      after intervention, and the duration of interventional therapy 
      ("puncture-to-balloon" time). The coronary status, anticoagulation therapy as 
      well as diabetes mellitus were also dependent variables, whereas the type of 
      stent showed no influence. The rate of restenosis was greater with bare-metal 
      stents (BMS) compared to the use of drug-eluting stents (DES). There was a low 
      rate of repeated STEMI or NSTEMI (non-ST elevation myocardial infarction; 1.8%, 
      1.7%). These first long-term data confirm the successful implementation of 
      treatment guidelines for STEMI patients within a standardized strategy in an 
      urban environment.
FAU - Hailer, Birgit
AU  - Hailer B
AD  - Medizinische Klinik II, Katholische Kliniken Essen-Nord-West, Philippusstift, 
      Essen. b.hailer@philippusstift.de
FAU - Naber, Christoph K
AU  - Naber CK
FAU - Koslowski, Bernd
AU  - Koslowski B
FAU - Budde, Thomas
AU  - Budde T
FAU - Jacksch, Rainer
AU  - Jacksch R
FAU - Sabin, Georg
AU  - Sabin G
FAU - Lange, Silke
AU  - Lange S
FAU - Erbel, Raimund
AU  - Erbel R
CN  - Herzinfarktverbund Essen
LA  - ger
PT  - Evaluation Study
PT  - Journal Article
TT  - Herzinfarktverbund Essen: Ergebnisse nach 1 Jahr.
PL  - Germany
TA  - Herz
JT  - Herz
JID - 7801231
SB  - IM
MH  - Aged
MH  - *Angioplasty, Balloon, Coronary
MH  - Delivery of Health Care, Integrated/*organization & administration
MH  - Drug-Eluting Stents
MH  - *Electrocardiography
MH  - Emergency Medical Services/*organization & administration
MH  - Female
MH  - Germany
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/diagnosis/mortality/*therapy
MH  - Outcome and Process Assessment, Health Care
MH  - Practice Guidelines as Topic
MH  - Recurrence
MH  - Stents
MH  - Survival Rate
EDAT- 2008/03/18 09:00
MHDA- 2008/07/17 09:00
CRDT- 2008/03/18 09:00
PHST- 2008/03/18 09:00 [pubmed]
PHST- 2008/07/17 09:00 [medline]
PHST- 2008/03/18 09:00 [entrez]
AID - 10.1007/s00059-008-3091-7 [doi]
PST - ppublish
SO  - Herz. 2008 Mar;33(2):153-7. doi: 10.1007/s00059-008-3091-7.