PMID- 20725707 OWN - NLM STAT- MEDLINE DCOM- 20110228 LR - 20211020 IS - 1432-1289 (Electronic) IS - 0020-9554 (Linking) VI - 51 IP - 10 DP - 2010 Oct TI - [Registries of myocardial infarction in Germany. Consequences for drug therapy of patients with acute ST elevation myocardial infarction]. PG - 1324-7, 1329 LID - 10.1007/s00108-010-2662-x [doi] AB - Current national and international guidelines for patients with ST elevation myocardial infarction (STEMI) are mainly based on the results of randomised clinical trials. However, it is well perceived that patients in such trials often represent a low risk population. Therefore the results of randomised clinical trials are not necessarily applicable to patients in clinical practice. This gap can be filled by prospective registries. Since the early nineties a number of prospective large registries in patients with STEMI have been performed in Germany. It could be shown that guideline adherent acute therapies and secondary prevention therapies were associated with an improvement in inhospital and mid-term outcomes. The benefit of guideline adherent therapy observed was especially high in patients with higher baseline risk. Registries are not able to replace randomised clinical trials, but can help to test if the results of these trials are comprehensible in clinical practice. Therefore prospective STEMI registries are an important part of clinical research to optimize therapies and improve outcome in patients with STEMI. FAU - Zeymer, U AU - Zeymer U AD - Medizinische Klinik B, Klinikum der Stadt Ludwigshafen gGmbH, Ludwigshafen, Deutschland. Uwe.Zeymer@t-online.de FAU - Zahn, R AU - Zahn R FAU - Senges, J AU - Senges J FAU - Gitt, A AU - Gitt A LA - ger PT - Journal Article TT - Herzinfarktregister in Deutschland. Konsequenzen fur die Arzneimitteltherapie bei Patienten mit akutem ST-Strecken-Hebungsinfarkt. PL - Germany TA - Internist (Berl) JT - Der Internist JID - 0264620 RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - 0 (Platelet Aggregation Inhibitors) RN - A74586SNO7 (Clopidogrel) RN - OM90ZUW7M1 (Ticlopidine) RN - R16CO5Y76E (Aspirin) SB - IM MH - Adrenergic beta-Antagonists/therapeutic use MH - Aged MH - Aged, 80 and over MH - Angina, Unstable/drug therapy/mortality MH - Angioplasty, Balloon, Coronary MH - Angiotensin Receptor Antagonists/therapeutic use MH - Angiotensin-Converting Enzyme Inhibitors/therapeutic use MH - Aspirin/therapeutic use MH - Clopidogrel MH - Coronary Restenosis/mortality/prevention & control MH - Drug Therapy, Combination MH - *Electrocardiography MH - *Evidence-Based Medicine MH - Germany MH - Guideline Adherence MH - Hospital Mortality MH - Humans MH - Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use MH - Middle Aged MH - Myocardial Infarction/*drug therapy/mortality MH - Platelet Aggregation Inhibitors/therapeutic use MH - Prospective Studies MH - Randomized Controlled Trials as Topic MH - *Registries MH - Secondary Prevention MH - Survival Analysis MH - Thrombolytic Therapy MH - Ticlopidine/analogs & derivatives/therapeutic use MH - Treatment Outcome EDAT- 2010/08/21 06:00 MHDA- 2011/03/01 06:00 CRDT- 2010/08/21 06:00 PHST- 2010/08/21 06:00 [entrez] PHST- 2010/08/21 06:00 [pubmed] PHST- 2011/03/01 06:00 [medline] AID - 10.1007/s00108-010-2662-x [doi] PST - ppublish SO - Internist (Berl). 2010 Oct;51(10):1324-7, 1329. doi: 10.1007/s00108-010-2662-x.