Implementation of the ESC STEMI guidelines in female and elderly patients over a 20-year period in a large German registry

Implementation of the ESC STEMI guidelines in female and elderly patients over a 20-year period in a large German registry

Aims We investigated the implementation of new guidelines in ST-segment elevation myocardial infarction (STEMI) patients in a large real-world patient population in the metropolitan area of Berlin (Germany) over a 20-year period. Methods From January 2000 to December 2019, a total of 25 792 patients...

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Veröffentlicht in:Clinical research in cardiology 2023-09, Vol.112 (9), p.1240-1251
Hauptverfasser: Riehle, Leonhard, Gothe, Raffaella M., Ebbinghaus, Jan, Maier, Birga, Bruch, Leonhard, Röhnisch, Jens-Uwe, Schühlen, Helmut, Fried, Andreas, Stockburger, Martin, Theres, Heinz, Dreger, Henryk, Leistner, David M., Landmesser, Ulf, Fröhlich, Georg M.
Format: Artikel
Sprache:eng
Schlagworte:
Access routes
Age
Cardiology
Females
Guidelines
Heart attacks
Hospitals
Medicine
Medicine & Public Health
Men
Metropolitan areas
Mortality
Myocardial infarction
Older people
Original Paper
Patients
Sex
Women
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Zusammenfassung:Aims We investigated the implementation of new guidelines in ST-segment elevation myocardial infarction (STEMI) patients in a large real-world patient population in the metropolitan area of Berlin (Germany) over a 20-year period. Methods From January 2000 to December 2019, a total of 25 792 patients were admitted with STEMI to one of the 34 member hospitals of the Berlin-Brandenburg Myocardial Infarction Registry (B2HIR) and were stratified for sex and age  60% of patients were treated accordingly. In 2019, less than 60% of elderly women were treated via a radial access. While the majority of patients 
ISSN:1861-0684
1861-0692
DOI:10.1007/s00392-023-02165-9