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- Karim Kalla
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Günter Christ
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Ronald Karnik
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Reinhard Malzer
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Georg Norman
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Herbert Prachar
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Wolfgang Schreiber
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Gerhard Unger
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Helmut D. Glogar
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Alfred Kaff
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Anton N. Laggner
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Gerald Maurer
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Johannes Mlczoch
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Joerg Slany
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Heinrich S. Weber
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
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- Kurt Huber
- From Wilhelminenhospital (K.K., G.U., K.H.), 3rd Medical Department, Cardiology and Emergency Medicine; Department of Cardiology (G.C., H.D.G., G.M.), Medical University Vienna; Krankenhaus Rudolfstiftung (R.K., J.S.), 2nd Medical Department, Cardiology; Ambulance Services Vienna (R.M., A.K.); Sozialmedizinisches Zentrum Ost (G.N., H.S.W.), 1st Medical Department, Cardiology; Krankenhaus Lainz (H.P., J.M.), 4th Medical Department, Cardiology; and Department of Emergency Medicine (W.S., A.N.L.),...
書誌事項
- タイトル別名
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- The Viennese Registry on Reperfusion Strategies in ST-Elevation Myocardial Infarction (Vienna STEMI Registry)
抄録
<jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> The purpose of this study was to determine whether implementation of recent guidelines improves in-hospital mortality from acute ST-elevation myocardial infarction (STEMI) in a metropolitan area. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> We organized a network that consisted of the Viennese Ambulance Systems, which is responsible for diagnosis and triage of patients with acute STEMI, and 5 high-volume interventional cardiology departments to expand the performance of primary percutaneous catheter intervention (PPCI) and to use the fastest available reperfusion strategy in STEMI of short duration (2 to 3 hours from onset of symptoms), either PPCI or thrombolytic therapy (TT; prehospital or in-hospital), respectively. Implementation of guidelines resulted in increased numbers of patients receiving 1 of the 2 reperfusion strategies (from 66% to 86.6%). Accordingly, the proportion of patients not receiving reperfusion therapy dropped from 34% to 13.4%, respectively. PPCI usage increased from 16% to almost 60%, whereas the use of TT decreased from 50.5% to 26.7% in the participating centers. As a consequence, in-hospital mortality decreased from 16% before establishment of the network to 9.5%, including patients not receiving reperfusion therapy. Whereas PPCI and TT demonstrated comparable in-hospital mortality rates when initiated within 2 to 3 hours from onset of symptoms, PPCI was more effective in acute STEMI of >3 but <12 hours’ duration. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Implementation of recent guidelines for the treatment of acute STEMI by the organization of a cooperating network within a large metropolitan area was associated with a significant improvement in clinical outcomes. </jats:p>
収録刊行物
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- Circulation
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Circulation 113 (20), 2398-2405, 2006-05-23
Ovid Technologies (Wolters Kluwer Health)
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詳細情報 詳細情報について
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- CRID
- 1362825893286956800
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- NII論文ID
- 30022672316
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- ISSN
- 15244539
- 00097322
- http://id.crossref.org/issn/00097322
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- データソース種別
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- Crossref
- CiNii Articles