A prospective survey of the characteristics, treatments and outcomes of patients with acute coronary syndromes in Europe and the Mediterranean basin. The Euro Heart Survey of Acute Coronary Syndromes (Euro Heart Survey ACS)

Hasdai, David; Behar, Solomon; Wallentin, Lars; Danchin, N.; Gitt, Anselm K.; Boersma, Eric; Fioretti, P.; Simoons, Maarten L.; Battler, Alexander

doi:10.1053/euhj.2002.3193

Cited by 670 publications

(432 citation statements)

References 21 publications

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“…22,23 Similarly, in patients undergoing CABG, necrosis markers were measured in only one-third, most likely reflecting the disputable value of these markers following surgery. 24 As to the treatment of STEMI, this survey concurs with previous studies in showing that reperfusion treatment remains underused, 25 even in this selected subgroup of patients referred for angiography. By design, we cannot analyse the factors that contribute to this sobering observation.…”

Section: Discussionsupporting

confidence: 75%

Management and Outcome of Patients With Established Coronary Artery Disease: The Euro Heart Survey on Coronary Revascularization

Lenzen¹,

Boersma²,

Bertrand³

2005

ACC Current Journal Review

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Section: Discussionsupporting

confidence: 75%

Management and Outcome of Patients With Established Coronary Artery Disease: The Euro Heart Survey on Coronary Revascularization

Lenzen¹,

Boersma²,

Bertrand³

2005

ACC Current Journal Review

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“…11,12 This difference in age at presentation may be due to the higher prevalence of CAD risk factors in our study. As in a previous study, 2 the proportion of women increased with increasing age and the risk factor pattern also varied with age.…”

Section: Discussionmentioning

confidence: 68%

Age and clinical outcomes in patients presenting with acute coronary syndromes

Ahmed

AlHabib

El‐Menyar

et al. 2013

Journal of Cardiovascular Disease Research

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a b s t r a c tContext: Elderly patients have more cardiovascular risk factors and a greater burden of ischemic disease than younger patients. Aims: To examine the impact of age on clinical presentation and outcomes in patients presenting with acute coronary syndrome (ACS). Methods and material: Collected data from the 2nd Gulf Registry of Acute Coronary Events (Gulf RACE-2), which is a prospective multicenter study from six adjacent Arab Middle Eastern Gulf countries. Patients were divided into 3 groups according to their age: 50 years, 51e70 years and >70 years and their clinical characteristics and outcomes were analyzed. Mortality was assessed at one and 12 months. Statistical analysis used: One-way ANOVA test for continuous variables, Pearson chi-square (X 2 ) test for categorical variables and multivariate logistic regression analysis for predictors were performed. Results: Among 7930 consecutive ACS patients; 2755 (35%) were 50 years, 4110 (52%) were 51e70 years and 1065 (13%) >70 years old. The proportion of women increased with increasing age (13% among patients 50 years to 31% among patients > 70 years). The risk factor pattern varied with age; younger patients were more often obese, smokers and had a positive family history of CAD, whereas older patients more likely to have diabetes mellitus, hypertension, and dyslipidemia. Advancing age was associated with under-treatment evidence-based therapies. Multivariate logistic regression analysis after adjusting for relevant covariates showed that old age was independent predictors for re-ischemia (OR 1.29; 95% CI 1.03e1.60), heart failure (OR 2.8; 95% CI 2.17e3.52) and major bleeding (OR 4.02; 95% CI 1.37 e11.77) and in-hospital mortality (age 51e70: OR 2.67; 95% CI 1.86e3.85, and age >70: OR 4.71; 95% CI 3.11e7.14). Conclusion: Despite being higher risk group, elderly are less likely to receive evidence-based therapies and had worse outcomes. Guidelines adherence is highly recommended in elderly.

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“…Acute coronary syndromes (ACS) are an important mode of cardiovascular diseases, and include unstable angina and acute myocardial infarction (AMI) [1]. Morbidity and mortality post-AMI are determined by a number of independent risk factors, including extent of coronary artery disease, infarct size, severity of left ventricular dysfunction, and depression [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The Hospital Anxiety and Depression Scale depression subscale, but not the Beck Depression Inventory-Fast Scale, identifies patients with acute coronary syndrome at elevated risk of 1-year mortality

Doyle

McGee

Harpe

et al. 2006

Journal of Psychosomatic Research

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A prospective survey of the characteristics, treatments and outcomes of patients with acute coronary syndromes in Europe and the Mediterranean basin. The Euro Heart Survey of Acute Coronary Syndromes (Euro Heart Survey ACS)

Abstract: This survey demonstrates the discordance between existing guidelines for ACS and current practice across a broad region in Europe and the Mediterranean basin and more extensively reflects the outcomes of ACS in real practice in this region.

Cited by 670 publications

References 21 publications

Management and Outcome of Patients With Established Coronary Artery Disease: The Euro Heart Survey on Coronary Revascularization

Management and Outcome of Patients With Established Coronary Artery Disease: The Euro Heart Survey on Coronary Revascularization

Age and clinical outcomes in patients presenting with acute coronary syndromes

The Hospital Anxiety and Depression Scale depression subscale, but not the Beck Depression Inventory-Fast Scale, identifies patients with acute coronary syndrome at elevated risk of 1-year mortality

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