PMID- 19819502
OWN - NLM
STAT- MEDLINE
DCOM- 20100203
LR  - 20091103
IS  - 0025-7753 (Print)
IS  - 0025-7753 (Linking)
VI  - 133
IP  - 18
DP  - 2009 Nov 14
TI  - [III Catalan registry of ST elevation acute myocardial infarction. Comparison 
      with former Catalan registries I and II from Catalonia, Spain].
PG  - 694-701
LID - 10.1016/j.medcli.2009.07.017 [doi]
AB  - BACKGROUND AND OBJECTIVE: To analyze the use of reperfusion therapy in patients 
      with ST elevation myocardial infarction (STEMI) in Catalonia in a registry 
      performed in 2006 (IAM CAT III) and its comparison with 2 previous registries 
      PATIENTS AND METHODS: Frequency of reperfusion therapy and time intervals between 
      symptom onset - reperfusion therapy were the principal variables investigated. 
      The IAM CAT I (June-December 2000) included 1,450 patients, the IAM CAT II 
      (October 2002-April 2003) 1,386, and the IAM CAT III (October-December 2006) 367. 
      RESULTS: The proportion of patients treated with reperfusion increased 
      progressively (72%, 79% and 81%) as the use of primary angioplasty (5%, 10% and 
      33%). In the III registry the transfer system most frequently used was the 
      SEM/061 (17%, 32% and 47%, respectively) but the time interval symptom 
      onset-first contact with the medical system did not improve (II, 90 vs III, 105 
      min), the interval symptom onset-thrombolytic therapy did hardly change (178, 165 
      and 177 min) and the interval hospital arrival-trombolysis (needle-door) tended 
      to improve (59, 42 and 42 min). Thirty day mortality in STEMI patients declined 
      progressively through the 3 registries (12.1, 10.6 and 7.4%, p=0.012). 
      CONCLUSIONS: The proportion of STEMI patients treated with reperfusion has 
      improved but the interval to its application has not been shortened. To improve 
      the latter it is mandatory an earlier contact with the medical system, a 
      shortening of the intervals door-needle and door-balloon through better 
      coordination between the 061, the sanitary personnel and the hospital 
      administration, and to consider the subject as a real sanitary priority.
FAU - Figueras, Jaume
AU  - Figueras J
AD  - Societat Catalana de Cardiologia, Societat Catalana de Medicina Intensiva i 
      Societat Catalana de Medicina d'Urgencia, Barcelona, Espana. 5751jfb@comb.es
FAU - Heras, Magda
AU  - Heras M
FAU - Baigorri, Francisco
AU  - Baigorri F
FAU - Elosua, Roberto
AU  - Elosua R
FAU - Ferreira, Ignacio
AU  - Ferreira I
FAU - Santalo, Miquel
AU  - Santalo M
LA  - spa
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
PT  - Multicenter Study
TT  - Resultados del III registro IAM CAT de pacientes con infarto de miocardio con 
      elevacion del segmento ST en Cataluna. Comparacion con los registros IAM CAT I y 
      II.
DEP - 20091012
PL  - Spain
TA  - Med Clin (Barc)
JT  - Medicina clinica
JID - 0376377
SB  - IM
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - *Myocardial Infarction/diagnosis/physiopathology/therapy
MH  - *Registries
MH  - Spain
EDAT- 2009/10/13 06:00
MHDA- 2010/02/04 06:00
CRDT- 2009/10/13 06:00
PHST- 2009/03/06 00:00 [received]
PHST- 2009/07/08 00:00 [accepted]
PHST- 2009/10/13 06:00 [entrez]
PHST- 2009/10/13 06:00 [pubmed]
PHST- 2010/02/04 06:00 [medline]
AID - S0025-7753(09)01174-9 [pii]
AID - 10.1016/j.medcli.2009.07.017 [doi]
PST - ppublish
SO  - Med Clin (Barc). 2009 Nov 14;133(18):694-701. doi: 10.1016/j.medcli.2009.07.017. 
      Epub 2009 Oct 12.