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April 14, 2005HeartOpen Access

What can we learn from Europe?

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Key result

Registry initiatives boost underused post-MI secondary prevention therapies across Europe.

Why the study?

The use of evidence-based secondary prevention treatments after myocardial infarction varies across Europe and is generally under-utilised.

Population

Patients with acute myocardial infarction or chronic heart failure in Europe

Comparison

Use versus under-utilisation of secondary prevention treatments including beta blockers and ACE inhibitors

Design

Review of surveys and registry data

Authors

Karl Swedberg
Karl SwedbergHeart Failure & Transplant

Discussion

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Overview

HF/LVSD identification post-MI aids risk stratification; leaves open optimal guideline implementation in contemporary practice.

Structured PICO

P
Population
Patients with acute myocardial infarction or chronic heart failure
E
Exposure
Secondary prevention treatments (including beta blockers and angiotensin converting enzyme inhibitors)

Evidence-based secondary prevention therapies are under-utilized in Europe, but targeted registries and collaborations can improve guideline adherence.

Cite This Study

Karl B Swedberg (2005) conducted a review in acute myocardial infarction and chronic heart failure. Secondary prevention treatments was evaluated. Secondary prevention therapies for myocardial infarction are under-utilized in Europe, but initiatives like the Italian BRING-UP and Swedish RIKS-HIA registries have successfully increased their use.

synapsesocial.com/papers/6abe585db297982ddf6e5eb5https://doi.org/10.1136/hrt.2005.062059

Topics

Heart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Treatment of chronic heart failure with β adrenergic blockade beyond controlled clinical trials: the BRING-UP experience2003 · 84 citations
  2. 2Expert consensus document on ?-adrenergic receptor blockersThe Task Force on Beta-Blockers of the European Society of Cardiology2004 · 559 citations
  3. 3Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005)2005 · 2,269 citations
  4. 4Expert consensus document on angiotensin converting enzyme inhibitors in cardiovascular diseaseThe Task Force on ACE-inhibitors of the European Society of Cardiology2004 · 332 citations
  5. 5Management of acute myocardial infarction in patients presenting with ST-segment elevation2003 · 1,452 citations