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- Angiolillo, Dominick J.University of Florida (författare)
European practice patterns for antiplatelet management in NSTE-ACS patients : Results from the REal-world ADoption survey focus on Acute antiPlatelet Treatment (READAPT) survey
- Artikel/kapitelEngelska2023
Förlag, utgivningsår, omfång ...
- 2023
- 9 s.
Nummerbeteckningar
- LIBRIS-ID:oai:lup.lub.lu.se:2804255b-cdb1-4faa-bc78-3aa758c9017e
- https://lup.lub.lu.se/record/2804255b-cdb1-4faa-bc78-3aa758c9017eURI
- https://doi.org/10.1016/j.ijcard.2023.05.025DOI
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- Språk:engelska
- Sammanfattning på:engelska
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- Background: The 2020 European Society of Cardiology (ESC) guidelines for the diagnosis and management of patients with non-ST elevation-acute coronary syndrome (NSTE-ACS) recommend early invasive coronary angiography in high-risk patients and no routine pre-treatment with oral P2Y12 receptor inhibitor in NSTE-ACS patients prior to defining coronary anatomy. Objective: To assess the implementation of this recommendation in the real-life setting. Methods: A web-survey in 17 European countries collected physician profiles and their perceptions of the diagnosis, medical and invasive management of NSTE-ACS patients at their hospital. A sample size of at least 1100 responders permitted the estimation of proportions with a precision of at least ±3.0%. Results: Among the 3024 targeted participants, 1154 provided valid feedback defined as a 50% response rate of answers to the survey questions. Overall, >60% of the participants declared full implementation of the guidelines at their institution. The time delay from admission to coronary angiography and PCI was reported to be <24 h in over 75% of the hospitals while pre-treatment was intended in >50% of NSTE-ACS patients. Ad-hoc percutaneous coronary intervention (PCI) was performed in >70% of the cases while intravenous platelet inhibition was rarely used (<10%). Between countries differences in practice patterns for antiplatelet management for NSTE-ACS were observed, suggesting heterogeneous implementation of the guidelines. Conclusions: This survey indicates that the implementation of 2020 NSTE-ACS guidelines on early invasive management and pre-treatment is heterogeneous, potentially due by local logistical constraints.
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
- Guidelines
- NSTE-ACS
- P2Y12 receptor inhibitors
- PCI
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Erlinge, DavidLund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Molekylär kardiologi,Forskargrupper vid Lunds universitet,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Molecular Cardiology,Lund University Research Groups,Skåne University Hospital(Swepub:lu)kard-der (författare)
- Ferreiro, José LuisBellvitge Biomedical Research Institute,Bellvitge University Hospital-IDIBELL (författare)
- Gale, Chris P.Leeds Teaching Hospitals NHS Trust,Leeds School of Medicine (författare)
- Huber, Kurt (författare)
- Musumeci, GiuseppeMauriziano Hospital, Turin (författare)
- Collet, Jean PhilippePitié-Salpêtrière University Hospital (författare)
- University of FloridaKardiologi (creator_code:org_t)
Sammanhörande titlar
- Ingår i:International Journal of Cardiology386, s. 8-160167-5273
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- International Journal of Cardiology (Sök värdpublikationen i LIBRIS)
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