title: Euro Heart Survey 2009 Snapshot: regional variations in presentation and management of patients with AMI in 47 countries.
abstract: OBJECTIVE
  Detailed data on patients admitted for acute myocardial infarction (AMI) on a European-wide basis are lacking. The Euro Heart Survey 2009 Snapshot was designed to assess characteristics, management, and hospital outcomes of AMI patients throughout European Society of Cardiology (ESC) member countries in a contemporary 'real-world' setting, using a methodology designed to improve the representativeness of the survey.
  
  
  METHODS
  Member countries of the ESC were invited to participate in a 1-week survey of all patients admitted for documented AMI in December 2009. Data on baseline characteristics, type of AMI, management, and complications were recorded using a dedicated electronic form. In addition, we used data collected during the same time period in national registries in Sweden, England, and Wales. Data were centralized at the European Heart House.
  
  
  RESULTS
  Overall, 4236 patients (mean age 66±13 years; 31% women) were included in the study in 47 countries. Sixty per cent of patients had ST-segment elevation myocardial infarction, with 50% having primary percutaneous coronary intervention and 21% fibrinolysis. Aspirin and thienopyridines were used in >90%. Unfractionated and low-molecular-weight heparins were the most commonly used anticoagulants. Statins, beta-blockers, and angiotensin-converting enzyme inhibitors were used in >80% of the patients. In-hospital mortality was 6.2%. Regional differences were observed, both in terms of population characteristics, management, and outcomes.
  
  
  CONCLUSIONS
  In-hospital mortality of patients admitted for AMI in Europe is low. Although regional variations exist in their presentation and management, differences are limited and have only moderate impact on early outcomes.
authors: Hôpital Européen Georges Pompidou, Assistance Publique Hôpitaux de Paris, INSERM U-970 and Université Paris Descartes, Paris, France.
authors: Etienne
authors: E
authors: Puymirat
authors: Alex
authors: A
authors: Battler
authors: John
authors: J
authors: Birkhead
authors: Hector
authors: H
authors: Bueno
authors: Peter
authors: P
authors: Clemmensen
authors: Yves
authors: Y
authors: Cottin
authors: Keith Aa
authors: KA
authors: Fox
authors: Bulent
authors: B
authors: Gorenek
authors: Christian
authors: C
authors: Hamm
authors: Kurt
authors: K
authors: Huber
authors: Maddalena
authors: M
authors: Lettino
authors: Bertil
authors: B
authors: Lindahl
authors: Christian
authors: C
authors: Müller
authors: Alexander
authors: A
authors: Parkhomenko
authors: Susanna
authors: S
authors: Price
authors: Tom
authors: T
authors: Quinn
authors: Francois
authors: F
authors: Schiele
authors: Maarten
authors: M
authors: Simoons
authors: Gabriel
authors: G
authors: Tatu-Chitoiu
authors: Marco
authors: M
authors: Tubaro
authors: Christiaan
authors: C
authors: Vrints
authors: Doron
authors: D
authors: Zahger
authors: Uwe
authors: U
authors: Zeymer
authors: Nicolas
authors: N
authors: Danchin
mesh_terms: D000368:Aged; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D014943:Global Health; D006801:Humans; D008297:Male; D009017:Morbidity / Q000639:trends; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000628:therapy*; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011159:Population Surveillance / Q000379:methods*; D011446:Prospective Studies; D012042:Registries; D015996:Survival Rate / Q000639:trends
keywords: Acute myocardial infarction; Europe; hospital outcomes; survey