title: Demographics, Management Strategies, and Problems in ST-Elevation Myocardial Infarction from the Standpoint of Emergency Medicine Specialists: A Survey-Based Study from Seven Geographical Regions of Turkey.
abstract: BACKGROUND
  This study aimed to explore the ST segment elevation myocardial infarction (STEMI) management practices of emergency medicine specialists working in various healthcare institutions of seven different geographical regions of Turkey, and to examine the characteristics of STEMI presentation and patient admissions in these regions.
  
  
  METHODS
  We included 225 emergency medicine specialists working in all geographical regions of Turkey. We e-mailed them a 20-item questionnaire comprising questions related to their STEMI management practices and characteristics of STEMI presentation and patient admissions.
  
  
  RESULTS
  The regions were not significantly different with respect to primary percutaneous coronary intervention (PCI) resources (p = 0.286). Sixty six point two percent (66.2%) of emergency specialists stated that patients presented to emergency within 2 hours of symptom onset. Forty three point six percent (43.6%) of them contacted cardiology department within 10 minutes and 47.1% within 30 minutes. In addition, 68.3% of the participants improved themselves through various educational activities. The Southeastern Anatolian region had the longest time from symptom onset to emergency department admission and the least favorable hospital admission properties, not originating from physicians or 112 emergency healthcare services.
  
  
  CONCLUSIONS
  Seventy point seven percent (70.7%) of the emergency specialists working in all geographical regions of Turkey comply with the latest guidelines and current knowledge about STEMI care; they also try to improve themselves, and receive adequate support from 112 emergency healthcare services and cardiologists. While inter-regional gaps between the number of primary PCI capable centers and quality of STEMI care progressively narrow, there are still issues to address, such as delayed patient presentation after symptoms onset and difficulties in patient admission.
authors.affiliation: Department of Emergency, Baskent University Faculty of Medicine, Ankara, Turkey.
authors.forename: Afsin Emre
authors.initials: AE
authors.lastname: Kayipmaz
authors.affiliation: Department of Cardiology, Baskent University Faculty of Medicine, Ankara, Turkey.
authors.forename: Orcun
authors.initials: O
authors.lastname: Ciftci
authors.affiliation: Department of Emergency, Baskent University Faculty of Medicine, Ankara, Turkey.
authors.forename: Cemil
authors.initials: C
authors.lastname: Kavalci
authors.affiliation: Department of Cardiology, Baskent University Faculty of Medicine, Ankara, Turkey.
authors.forename: Emir
authors.initials: E
authors.lastname: Karacaglar
authors.affiliation: Department of Cardiology, Baskent University Faculty of Medicine, Ankara, Turkey.
authors.forename: Haldun
authors.initials: H
authors.lastname: Muderrisoglu
mesh_terms: D003430:Cross-Sectional Studies; D003710:Demography; D004635:Emergency Medicine; D005843:Geography; D006801:Humans; D010343:Patient Admission; D010346:Patient Care Management / Q000706:statistics & numerical data*; D062645:Percutaneous Coronary Intervention; D000072657:ST Elevation Myocardial Infarction / Q000453:epidemiology* / Q000628:therapy; D013038:Specialization; D011795:Surveys and Questionnaires; D013997:Time Factors; D014421:Turkey / Q000453:epidemiology