Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure

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 p...

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Autores: Bayés-Genís, Antoni|||0000-0002-3044-197X, Garcia Garcia, Cosme|||0000-0001-6330-1677, de Antonio Ferrer, Marta|||0000-0002-4319-797X, Fernandez-Nofrerías, Eduard, Domingo, Mar|||0000-0002-2935-1272, Zamora, Elisabet|||0000-0001-5317-7481, Moliner, P.|||0000-0002-5511-8597, Lupón, Josep|||0000-0002-5601-9611
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:187843
Acceso en línea:https://ddd.uab.cat/record/187843
https://dx.doi.org/urn:doi:10.1002/ehf2.12245
Access Level:acceso abierto
Palabra clave:Stent for life
ST elevation myocardial infarction
Heart failure clinics
Left ventricular ejection fraction
HF with reduced ejection fraction
New York Heart Association
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spelling Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failurea 15 year heart failure clinic experienceBayés-Genís, Antoni|||0000-0002-3044-197XGarcia Garcia, Cosme|||0000-0001-6330-1677de Antonio Ferrer, Marta|||0000-0002-4319-797XFernandez-Nofrerías, EduardDomingo, Mar|||0000-0002-2935-1272Zamora, Elisabet|||0000-0001-5317-7481Moliner, P.|||0000-0002-5511-8597Lupón, Josep|||0000-0002-5601-9611Stent for lifeST elevation myocardial infarctionHeart failure clinicsLeft ventricular ejection fractionHF with reduced ejection fractionNew York Heart AssociationMultidisciplinary 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. 22017-01-0120172017-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/187843https://dx.doi.org/urn:doi:10.1002/ehf2.12245reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:1878432026-06-06T12:50:31Z
dc.title.none.fl_str_mv Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
a 15 year heart failure clinic experience
title Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
spellingShingle Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
Bayés-Genís, Antoni|||0000-0002-3044-197X
Stent for life
ST elevation myocardial infarction
Heart failure clinics
Left ventricular ejection fraction
HF with reduced ejection fraction
New York Heart Association
title_short Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
title_full Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
title_fullStr Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
title_full_unstemmed Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
title_sort Impact of a 'stent for life' initiative on post-ST elevation myocardial infarction heart failure
dc.creator.none.fl_str_mv Bayés-Genís, Antoni|||0000-0002-3044-197X
Garcia Garcia, Cosme|||0000-0001-6330-1677
de Antonio Ferrer, Marta|||0000-0002-4319-797X
Fernandez-Nofrerías, Eduard
Domingo, Mar|||0000-0002-2935-1272
Zamora, Elisabet|||0000-0001-5317-7481
Moliner, P.|||0000-0002-5511-8597
Lupón, Josep|||0000-0002-5601-9611
author Bayés-Genís, Antoni|||0000-0002-3044-197X
author_facet Bayés-Genís, Antoni|||0000-0002-3044-197X
Garcia Garcia, Cosme|||0000-0001-6330-1677
de Antonio Ferrer, Marta|||0000-0002-4319-797X
Fernandez-Nofrerías, Eduard
Domingo, Mar|||0000-0002-2935-1272
Zamora, Elisabet|||0000-0001-5317-7481
Moliner, P.|||0000-0002-5511-8597
Lupón, Josep|||0000-0002-5601-9611
author_role author
author2 Garcia Garcia, Cosme|||0000-0001-6330-1677
de Antonio Ferrer, Marta|||0000-0002-4319-797X
Fernandez-Nofrerías, Eduard
Domingo, Mar|||0000-0002-2935-1272
Zamora, Elisabet|||0000-0001-5317-7481
Moliner, P.|||0000-0002-5511-8597
Lupón, Josep|||0000-0002-5601-9611
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Stent for life
ST elevation myocardial infarction
Heart failure clinics
Left ventricular ejection fraction
HF with reduced ejection fraction
New York Heart Association
topic Stent for life
ST elevation myocardial infarction
Heart failure clinics
Left ventricular ejection fraction
HF with reduced ejection fraction
New York Heart Association
description 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.
publishDate 2017
dc.date.none.fl_str_mv 2
2017-01-01
2017
2017-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/187843
https://dx.doi.org/urn:doi:10.1002/ehf2.12245
url https://ddd.uab.cat/record/187843
https://dx.doi.org/urn:doi:10.1002/ehf2.12245
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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