title: Implementation of ESC-STEMI guidelines into clinical practice: an analysis of the Slovak Registry of Acute Coronary Syndromes (SLOVAKS).
abstract: This study analysed the implementation of official European Society of Cardiology (ESC) guidelines for the management of ST elevated myocardial infarction (STEMI) patients. Initiatives were aimed at the education of both healthcare professionals and inhabitants. Changes in clinical practice and clinical outputs were analysed using data acquired from the SLOVak registry of Acute Coronary Syndromes (SLOVAKS). From 2007 to 2008 positive changes were noticed at every level of the 'life chain'. The proportion of patients treated by primary percutaneous coronary intervention (PCI) and by early reperfusion rose significantly. Total ischaemic time was shortened by 12 min in patients treated by thrombolysis and by 26 min in patients treated by PCI. In-hospital lethality for STEMI decreased significantly. The weakest point in the management of STEMI patients in Slovakia was the still-significant time loss incurred by patients themselves. Targeted initiatives aimed at implementing official ESC guidelines can significantly improve clinical outcomes in a relatively short period of time.
authors.affiliation: Cardiological Clinic, University Hospital and VÚSCH, Košice, Bratislava, Slovak Republic. mstudencan@vusch.sk
authors.forename: Martin
authors.initials: M
authors.lastname: Studenčan
authors.forename: Vasiľ
authors.initials: V
authors.lastname: Hricák
authors.forename: František
authors.initials: F
authors.lastname: Kovář
authors.forename: Peter
authors.initials: P
authors.lastname: Kurray
authors.forename: Jan
authors.initials: J
authors.lastname: Murín
authors.forename: Gabriel
authors.initials: G
authors.lastname: Kamenský
authors.forename: Eva
authors.initials: E
authors.lastname: Goncalvesová
authors.forename: Branislav
authors.initials: B
authors.lastname: Liška
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Rosenberger
authors.forename: Anna
authors.initials: A
authors.lastname: Baráková
authors.forename: Peter
authors.initials: P
authors.lastname: Hlava
mesh_terms: D054058:Acute Coronary Syndrome / Q000401:mortality / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000401:mortality / Q000592:standards*; D016009:Chi-Square Distribution; D019983:Guideline Adherence; D006297:Health Services Accessibility / Q000592:standards*; D017052:Hospital Mortality; D006801:Humans; D009203:Myocardial Infarction / Q000401:mortality / Q000628:therapy*; D016017:Odds Ratio; D017410:Practice Guidelines as Topic; D012042:Registries; D018154:Slovakia; D015912:Thrombolytic Therapy / Q000401:mortality / Q000592:standards*; D013997:Time Factors; D016896:Treatment Outcome