Improving STEMI Management Internationally: Initial Report of the American College of Cardiology-Global Heart Attack Treatment Initiative
Authors' conclusion
This global contemporary registry successfully enrolled STEMI patients in nations generally unfamiliar with quality improvement metrics; trends of improvement in their care were observed.
Study context
- Population
- Consecutive STEMI patients in 18 international hospitals, mostly in low- and middle-income countries, 2019–20214,092 enrolled
- Participants
- 3,914 patients
- Outcome
- STEMI care and outcomes over time
Methodological detailsinternational, 18 hospitals
- International
- 18 hospitals
Main finding
As reported in the abstract
- Improvement on combined endpoints (shock; arrest before or after intervention; final EF <40%; survival at discharge) over time
- 2%
- Increase in survivorship
- 2% (P = 0.003)
- First medical contact to device time <90 minutes
- 74.8%
- Reperfusion therapy
- 94.2%
- Adherence to guidelines
- 91.8%
Observational data: associations, not effects.
Further findings
Baseline characteristics
- Male
- 80.5%
- Smokers
- 35.5%
- Shock on arrival
- 10%
- Cardiac arrest before intervention
- 5.1%
Original publication
Improving STEMI Management Internationally: Initial Report of the American College of Cardiology-Global Heart Attack Treatment Initiative. JACC Adv. Published 10 December 2024. doi:10.
Summarised from the published abstract; every number is checked against it