International differences in acute coronary syndrome patients’ baseline characteristics, clinical management and outcomes in Western Europe: the EURHOBOP study

Diagnosis of Unstable Angina Pectoris Has Declined Markedly with the Advent of More Sensitive Troponin Assays

“…[16][17][18][19][20][21][22] However, several of these studies are limited by inconsistent definitions of the individual elements of acute coronary syndrome, such as non-Q-wave/Q-wave myocardial infarction rather than NSTEMI/STEMI 19,20 or the merging of unstable angina pectoris and NSTEMI into 1 group. 21 Indeed, in the very recent European Hospital Benchmarking by Outcomes in acute coronary syndrome Processes (EUROHOBOP) study, 22 the unstable angina pectoris subgroup was not considered as an independent entity. Instead unstable angina pectoris patients were categorized as NSTEMI, and no information about the frequency and characteristics of unstable angina pectoris patients are provided.…”

Association of restaurant smoking ban and the incidence of acute myocardial infarction in Finland

“…On the other hand, in comparison with many other countries, the proportion of STEMI as the form of AMI has steadily increased in Finland. [15][16][17][18] The reason for this is unknown, but considering the pathophysiological differences of STEMI and NSTEMI, 19 one could suppose that population-specific factors might result in differences between clinical outcomes of smoking bans in different countries. However, our results showed no change in the ratio of STEMI versus NSTEMI over the study period.…”

Seeking actual benchmarks in acute coronary syndromes for European countries: insights from the EURHOBOP registry

“…Andre et al 4 have evaluated within the EURHOBOP the current characteristics and in-hospital mortality of 12 231 patients admitted with ACS in 43 hospitals from six European countries. Similar to what has been previously shown, overall, approximately one-third of the patients were female and one-third presented with ST-segment elevation myocardial infarction (STEMI)5–7; diabetes mellitus was more prevalent in the Mediterranean countries, and smoking was more frequent in Greece and France.…”

“…Comparison of the mortality rates for STEMI (A) and overall acute myocardial infarction (AMI; including STEMI and NSTEMI) (B) in the EURHOBOP (EURopean HOspital Benchmarking by Outcomes in acute coronary syndrome Processes) registry4 and in the European Association for Percutaneous Cardiovascular Interventions (EAPCI) survey for AMI 6…”

“…Therefore, any study aiming to solely evaluate an isolate component of this complex chain will have to acknowledge that its results must be cautiously interpreted. The present study by Andre et al 4 aimed to analyse the in-hospital outcomes of patients with ACS in six European countries. The comparative interpretation of their data is not straightforward.…”