Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure : a 15 year heart failure clinic experience
Bayés-Genís, Antoni (Universitat Autònoma de Barcelona. Departament de Medicina)
Garcia Garcia, Cosme (Universitat Autònoma de Barcelona. Departament de Medicina)
de Antonio Ferrer, Marta (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Fernandez-Nofrerías, Eduard (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Domingo, Mar (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Zamora, Elisabet (Universitat Autònoma de Barcelona. Departament de Medicina)
Moliner, Pedro (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Lupón, Josep (Universitat Autònoma de Barcelona. Departament de Medicina)

Data:	2017
Resum:	Multidisciplinary heart failure (HF) clinics are a cornerstone of contemporary HF management. The stent-for-life (SFL) initiative improves mortality after ST elevation myocardial infarction (STEMI), but its impact in post-STEMI HF is not well characterized. Here we assessed the impact of SFL among patients referred to a multidisciplinary HF clinic over a 15 year time period. Between 2001 and 2015, 1921 patients were admitted to our HF clinic. In 2009, Catalonia established the Codi IAM network, a regional STEMI network that prioritizes primary percutaneous coronary intervention in STEMI. Patients admitted during the study period were divided into two groups based on admission date: pre-SFL (2001-June 2009; = 1031) and post-SFL (July 2009-2015; = 890). Compared with those in the pre-SFL group, patients admitted in the post-SFL period had better New York Heart Association (NYHA) functional class (22. 1 vs. 38. 7 NYHA classes III-IV; < 0. 001) and higher left ventricular ejection fraction (LVEF) (36. 1 ± 19. 6 vs. 32. 6 ± 13. 4; < 0. 001). Among STEMI survivors, 101 (6. 7%) pre-SFL patients and 40 (2%) post-SFL patients ( < 0. 001) fulfilled the criteria for HF clinic referral (Killip-Kimball class ≥ 2 during index admission and/or LVEF of <40%). Furthermore, among patients admitted to the HF clinic, post-STEMI HF with reduced ejection fraction patients comprised 8. 9% of the pre-SFL group and only 4. 2% of the post-SFL group ( < 0. 001). Among patients treated at our multidisciplinary HF clinic, the adoption of an SFL network has decreased the prevalence of post-STEMI HF with reduced ejection fraction.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Stent for life ; ST elevation myocardial infarction ; Heart failure clinics ; Left ventricular ejection fraction ; HF with reduced ejection fraction ; New York Heart Association
Publicat a:	ESC Heart Failure, Vol. 5 (december 2017) , p. 101-105, ISSN 2055-5822

DOI: 10.1002/ehf2.12245
PMID: 29285897

5 p, 255.7 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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