PMID- 29285897
OWN - NLM
STAT- MEDLINE
DCOM- 20181025
LR  - 20210109
IS  - 2055-5822 (Electronic)
IS  - 2055-5822 (Linking)
VI  - 5
IP  - 1
DP  - 2018 Feb
TI  - Impact of a 'stent for life' initiative on post-ST elevation myocardial 
      infarction heart failure: a 15 year heart failure clinic experience.
PG  - 101-105
LID - 10.1002/ehf2.12245 [doi]
AB  - AIMS: Multidisciplinary heart failure (HF) clinics are a cornerstone of 
      contemporary HF management. The stent-for-life (SFL) initiative improves 
      mortality after ST elevation myocardial infarction (STEMI), but its impact in 
      post-STEMI HF is not well characterized. Here we assessed the impact of SFL among 
      patients referred to a multidisciplinary HF clinic over a 15 year time period. 
      METHODS AND RESULTS: Between 2001 and 2015, 1921 patients were admitted to our HF 
      clinic. In 2009, Catalonia established the Codi IAM network, a regional STEMI 
      network that prioritizes primary percutaneous coronary intervention in STEMI. 
      Patients admitted during the study period were divided into two groups based on 
      admission date: pre-SFL (2001-June 2009; n = 1031) and post-SFL (July 2009-2015; 
      n = 890). Compared with those in the pre-SFL group, patients admitted in the 
      post-SFL period had better New York Heart Association (NYHA) functional class 
      (22.1 vs. 38.7 NYHA classes III-IV; P < 0.001) and higher left ventricular 
      ejection fraction (LVEF) (36.1 +/- 19.6 vs. 32.6 +/- 13.4; P < 0.001). Among STEMI 
      survivors, 101 (6.7%) pre-SFL patients and 40 (2%) post-SFL patients (P < 0.001) 
      fulfilled the criteria for HF clinic referral (Killip-Kimball class >/= 2 during 
      index admission and/or LVEF of <40%). Furthermore, among patients admitted to the 
      HF clinic, post-STEMI HF with reduced ejection fraction patients comprised 8.9% 
      of the pre-SFL group and only 4.2% of the post-SFL group (P < 0.001). 
      CONCLUSIONS: Among patients treated at our multidisciplinary HF clinic, the 
      adoption of an SFL network has decreased the prevalence of post-STEMI HF with 
      reduced ejection fraction.
CI  - (c) 2017 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on 
      behalf of the European Society of Cardiology.
FAU - Bayes-Genis, Antoni
AU  - Bayes-Genis A
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
AD  - Department de Medicina, Universitat Autonoma de Medicina, Barcelona, Spain.
AD  - CIBERCV (CB16/11/00403), Instituto de Salud Carlos III, Madrid, Spain.
FAU - Garcia, Cosme
AU  - Garcia C
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
AD  - Department de Medicina, Universitat Autonoma de Medicina, Barcelona, Spain.
AD  - CIBERCV (CB16/11/00403), Instituto de Salud Carlos III, Madrid, Spain.
FAU - de Antonio, Marta
AU  - de Antonio M
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
AD  - CIBERCV (CB16/11/00403), Instituto de Salud Carlos III, Madrid, Spain.
FAU - Fernandez-Nofrerias, Eduard
AU  - Fernandez-Nofrerias E
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
FAU - Domingo, Mar
AU  - Domingo M
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
FAU - Zamora, Elisabet
AU  - Zamora E
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
AD  - Department de Medicina, Universitat Autonoma de Medicina, Barcelona, Spain.
AD  - CIBERCV (CB16/11/00403), Instituto de Salud Carlos III, Madrid, Spain.
FAU - Moliner, Pedro
AU  - Moliner P
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
FAU - Lupon, Josep
AU  - Lupon J
AD  - Heart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
AD  - Department de Medicina, Universitat Autonoma de Medicina, Barcelona, Spain.
AD  - CIBERCV (CB16/11/00403), Instituto de Salud Carlos III, Madrid, Spain.
LA  - eng
PT  - Journal Article
DEP - 20171229
PL  - England
TA  - ESC Heart Fail
JT  - ESC heart failure
JID - 101669191
SB  - IM
MH  - Aged
MH  - *Electrocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - *Forecasting
MH  - Heart Failure/*etiology/mortality/physiopathology
MH  - Humans
MH  - Male
MH  - Percutaneous Coronary Intervention/*methods
MH  - Prognosis
MH  - ST Elevation Myocardial Infarction/complications/diagnosis/*surgery
MH  - Spain/epidemiology
MH  - *Stents
MH  - Stroke Volume/physiology
MH  - Survival Rate/trends
MH  - Ventricular Function, Left/*physiology
PMC - PMC5793981
OTO - NOTNLM
OT  - HF with reduced ejection fraction
OT  - Heart failure clinics
OT  - Left ventricular ejection fraction
OT  - New York Heart Association
OT  - ST elevation myocardial infarction
OT  - Stent for life
COIS- None declared.
EDAT- 2017/12/30 06:00
MHDA- 2018/10/26 06:00
PMCR- 2017/12/29
CRDT- 2017/12/30 06:00
PHST- 2017/06/06 00:00 [received]
PHST- 2017/10/05 00:00 [revised]
PHST- 2017/11/14 00:00 [accepted]
PHST- 2017/12/30 06:00 [pubmed]
PHST- 2018/10/26 06:00 [medline]
PHST- 2017/12/30 06:00 [entrez]
PHST- 2017/12/29 00:00 [pmc-release]
AID - EHF212245 [pii]
AID - 10.1002/ehf2.12245 [doi]
PST - ppublish
SO  - ESC Heart Fail. 2018 Feb;5(1):101-105. doi: 10.1002/ehf2.12245. Epub 2017 Dec 29.