Management and outcome of patients with established coronary artery disease

The Euro Heart Survey on coronary revascularization

M. J. Lenzen, E. Boersma, M. E. Bertrand, W. Maier, C. Moris, F. Piscione, U. Sechtem, E. Stahle, P. Widimsky, P. De Jaegere, W. J M Scholte Op Reimer, N. Mercado, W. Wijns, B. Meier, P. Sergeant, J. Vos, F. Unger, Malika Manini, Claire Bramley, Valérie Laforest & 311 others Charles Taylor, Susan Del Gaiso, Kurt Huber, Guy De Backer, Vera Sirakova, Roman Cerbak, Per Thayssen, Seppo Lehto, Jean Jacques Blanc, François Delahaye, Bondo Kobulia, Uwe Zeymer, Dennis Cokkinos, Kristof Karlocai, Ian Graham, Emer Shelley, Shlomo Behar, Aldo Maggioni, Virginija Grabauskiene, Jaap Deckers, Inger Asmussen, Janina Stepinska, Lino Gonçalves, Vyacheslav Mareev, Igor Riecansky, Miran F. Kenda, Angeles Alonso, José Luis Lopez-Sendon, Annika Rosengren, Peter Buser, Tugrul Okay, Oleg Sychov, Kevin Fox, David Wood, Eric Boersma, Harry Crijns, Kim Fox, Keith McGregor, Barbara Mulder, Sylvia Priori, Lars Rydén, Luigi Tavazzi, Alec Vahanian, Panos Vardas, William Wijns, Karine Sarkisyan, H. D. Glogar, Michael Derntl, Matthias Frick, O. Pachinger, Ralf Zwick, Christiaan Vrints, Els Van Hertbruggen, Marc Vercammen, Tineke Sysmans, E. Schroeder, Juliette Domange, Hilde De Pril, Johan De Vriese, Tonny Van Hecke, V. Legrand, Marie France Gillon, Michel Richardy, P. Doneux, Ivo Petrov, J. Jorgova, Boris Starcevic, Eric Eeckhout, Alexandre Berger, Veronique Prudent, E. Camenzind, Nicolas Masson, Costas Zambartas, Helen Kleanthous, Petr Widimsky, Blanka Stellova, Michael Aschermann, Stanislav Simek, J. Kautzner, Vladimir Karmazin, P. Svab, Jan Indrak, M. Branny, Kveta Hladilova, P. Kala, P. Thayssen, Helle Cappelen, Lisette Okkels Jensen, A. Gitt, Konstanze Gehrke, R. Erbel, Achim Gutersohn, Holger Eggebrecht, Murad Al Khani, Udo Sechtem, Antje Rosenberger, Holger Vogelsberg, H. Klepzig, Arnold Schmidt, Sigmund Silber, Birgit Mau, Christian Leuner, Karen Czyborra, Christina Reuschling, Eva Muno, F. Kleber, Sascha Rux, U. Zeymer, Aly Saad, B. S S Ibrahim, Maged Elabady, A. Castro Beiras, Jorge Salgado Fernandez, Felipe Navarro Del Arno, A. Iniguez Romo, J. M. Cruz Fernandez, Alejandro Recio Mayoreal, Franciso Javier Rivero Rebanal, Mariano Garcia De La Borbolla, Marinela Chaparro, C. Brotons, C. Permanyer Miralda, Srta Irma Vilai Perez, Cesar Moris, F. Fernandez Aviles, Luis De La Fuente Galan, Paula Tejedor Vinuela, F. Malpartida De Torres, Javier Mora, Ignacio Santos Rodriguez, Itziar Piedra Bustamante, Pedro L. Sanchez Fernandez, J. L. Diago Torrent, Jose L. Diez Gil, Javier Perpinan, V. Palacios Motilla, M. Soledad Alcasena Juango, Jesus Berjon-Reyero, R. Melgares Moreno, Juan Carlos Fernandez Guerrero, S. Lehto, Kirsti Savolainen, M. S. Nieminen, Mikko Syvanne, A. Cohen-Solal, Antoine Sylvain Oboa, J. P. Bassand, Denis Pales Espinosa, Veronique Jouet, G. Montalescot, Vanessa Gallois, J. C. Daubert, Jean Michel Clerc, Jacques Machecourt, Y. Cottin, D. Walker, Fhiona Holland, D. Wood, Jenni Prosser, Lis Muir, Kate Barber, J. G F Cleland, Jocelyn Cook, Zaza Chapichadze, Ioannis Skoularigisn Athanasiou Christos, Nastasia Tsiavou, Christina Chrysohoou, Athanassios Manginas, John Terrovitis, John Kanakakis, Manolis Vavuranakis, Stavros Drakos, Thomas Farmakis, C. Samara, Christina Papakosta, Christos Bourantas, L. K. Michalis, Mpourantas Christos, Stefanos Foussas, Evdokia Adamopoulou, P. E. Vardas, Mary Marketou, N. Alotti, Anna Maria Basa, Andras Vigh, Istvan Preda, Eva Csoti, M. Keltai, G. Kerkovits, Alberto Hendler, Alex Blatt, R. Beyar, Arie Shefer, David Halon, Margalait Bentzvi, Naomi Avramovitch, Avinoam Bakst, Carlos Cafri, Aviva Grosbard, Bella Margolis, Khalid Suleiman, Shmuel Banai, David Meerkin, Morris Mosseri, Pnina Guita, Rifat Jabara, Jamal Jafari, Debi Ben Shitrit, Ghasan, Salameh, Marc Brezins, Lily Van Den Akker-Berman, Victor Guetta, Yoseph Rozenman, A. Biagini, Sergio Berti, Massimo Ferrero, A. Colombo, R. Roccaforte, Caterina Milici, L. Scarpino, A. Salvi, Alessandro Desideri, Daniela Sabbadin, Alfredo Galassi, Giuseppe Giuffrida, Andrea Rognoni, Corrado Vassanelli, Paola Paffoni, Angelo Cioppa, Paolo Rubino, Marco De Carlo, Anna Sonia Petronio, F. Naccarella, Francesco Saia, Antonio Marzocchi, Stefano Sdringola Maranga, P. Presbitero, Fazya Valsecchi, Federico Piscione, Giovanni Esposito, Napoli M. Santini, Marco Tubaro, A. Erglis, Inga Narbute, Ausra Kavoliuniene, R. Zaliunas, Ramunas Navickas, V. Grabauskiene, Davia Luckute, Eduardas Subkovas, Daniel Wagner, F. Vermeer, Aimee Lousberg, Heidi Fransen, Arno Breeman, Henriette Tebbe, M. J. De Boer, Metske Van Der Wal, J. Deckers, Jeroen Vos, C. M. Leenders, M. J. Veerhoek, Chris Jansen, M. Bijl, Colinda Koppelaar, Den Linden Van Den Linden, R. Brons, J. W M G Widdershofen, Herman Broers, F. Kontny, Marianne Jonzon, Jan Wodniecki, Andrzej Tomasik, M. Trusz-Gluza, Seweryn Nowak, Witold Ruzyllo, Tomasz Deptuch, Jorge Marques, F. Matias, H. Madeira, Joaquim Oliveira, Luis Sargento, Adina Ionac, Iosif Stefan Dragulescu, Bogdan Mut-Vitcu, Daniela Maximov, M. Dorobantu, E. Apetrei, Rodica Niculescu, Virgil Petrescu, Adrian Bucsa, Dan Deleanu, I. S. Benedek, Theodora Hintea, D. Aronov, Elena Tikhomirova, I. Kranjec, Katja Prokselj, Vojko Kanic, Ahmet Sepetoglu, S. Aytekin, V. Aytekin, Alp Burak Catakoglu, Hayri Parlar, Suavi Tufekcioglu, Zeki Ozyedek, Mehmet Baltali, Kiziltan, Milan Vukovic, A. N. Neskovic

Research output: Contribution to journalReview article

Abstract

Aims The purpose of the Euro Heart Survey Programme of the European Society of Cardiology is to evaluate to which extent clinical practice endorses existing guidelines as well as to identify differences in population profiles, patient management, and outcome across Europe. The current survey focuses on the invasive diagnosis and treatment of patients with established coronary artery disease (CAD). Methods and results Between November 2001 and March 2002, 7769 consecutive patients undergoing invasive evaluation at 130 hospitals (31 countries) were screened for the presence of one or more coronary stenosis .50% in diameter. Patient demographics and comorbidity, clinical presentation, invasive parameters, treatment options, and procedural techniques were prospectively entered in an electronic database (550 variables 3/4 29 per diseased coronary segment). Major adverse cardiac events (MACE) were evaluated at 30 days and 1 year. Out of 5619 patients with angiographically proven coronary stenosis (72% of screened population), 53% presented with stable angina while ST elevation myocardial infarction (STEMI) was the indication for coronary angiography in 16% and non-ST segment elevation myocardial infarction or unstable angina in 30%. Only medical therapy was continued in 21%, whereas mechanical revascularization was performed in the remainder [percutaneous coronary intervention (PCI) in 58% and coronary artery bypass grafting (CABG) in 21%]. Patients referred for PCI were younger, were more active, had a lower risk profile, and had less comorbid conditions. CABG was performed mostly in patients with left main lesions (21%), two- (25%), or three-vessel disease (67%) with 4.1 diseased segments, on average. Single-vessel PCI was performed in 82% of patients with either single- (45%), two- (33%), or three-vessel disease (21%). Stents were used in 75% of attempted lesions, with a large variation between sites. Direct PCI for STEMI was performed in 410 cases, representing 7% of the entire workload in the participating catheterization laboratories. Time delay was within 90 min in 76% of direct PCI cases. In keeping with the recommendations of practice guidelines, the survey identified under-use of adjunctive medication (GP IIb/IIIa receptor blockers, statins, and angiotensin-converting enzyme-inhibitors). Mortality rates at 30 days and 1 year were low in all subgroups. MACE primarily consisted of repeat PCI (12%). Conclusion The current Euro Heart Survey on coronary revascularization was performed in the era of bare metal stenting and provides a global European picture of the invasive approach to patients with CAD. These data will serve as a benchmark for the future evaluation of the impact of drug-eluting stents on the practice of interventional cardiology and bypass surgery.

Original languageEnglish (US)
Pages (from-to)1169-1179
Number of pages11
JournalEuropean Heart Journal
Volume26
Issue number12
DOIs
StatePublished - 2005
Externally publishedYes

Fingerprint

Coronary Artery Disease
Percutaneous Coronary Intervention
Coronary Stenosis
Coronary Artery Bypass
Platelet Membrane Glycoprotein IIb
Surveys and Questionnaires
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Benchmarking
Drug-Eluting Stents
Stable Angina
Unstable Angina
Workload
Cardiology
Coronary Angiography
Practice Guidelines
Angiotensin-Converting Enzyme Inhibitors
Catheterization
Population
Stents
Coronary Disease

Keywords

  • CABG
  • Coronary angiography
  • Coronary artery disease
  • PCI
  • Practice survey

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Lenzen, M. J., Boersma, E., Bertrand, M. E., Maier, W., Moris, C., Piscione, F., ... Neskovic, A. N. (2005). Management and outcome of patients with established coronary artery disease: The Euro Heart Survey on coronary revascularization. European Heart Journal, 26(12), 1169-1179. https://doi.org/10.1093/eurheartj/ehi238

Management and outcome of patients with established coronary artery disease : The Euro Heart Survey on coronary revascularization. / Lenzen, M. J.; Boersma, E.; Bertrand, M. E.; Maier, W.; Moris, C.; Piscione, F.; Sechtem, U.; Stahle, E.; Widimsky, P.; De Jaegere, P.; Scholte Op Reimer, W. J M; Mercado, N.; Wijns, W.; Meier, B.; Sergeant, P.; Vos, J.; Unger, F.; Manini, Malika; Bramley, Claire; Laforest, Valérie; Taylor, Charles; Del Gaiso, Susan; Huber, Kurt; De Backer, Guy; Sirakova, Vera; Cerbak, Roman; Thayssen, Per; Lehto, Seppo; Blanc, Jean Jacques; Delahaye, François; Kobulia, Bondo; Zeymer, Uwe; Cokkinos, Dennis; Karlocai, Kristof; Graham, Ian; Shelley, Emer; Behar, Shlomo; Maggioni, Aldo; Grabauskiene, Virginija; Deckers, Jaap; Asmussen, Inger; Stepinska, Janina; Gonçalves, Lino; Mareev, Vyacheslav; Riecansky, Igor; Kenda, Miran F.; Alonso, Angeles; Lopez-Sendon, José Luis; Rosengren, Annika; Buser, Peter; Okay, Tugrul; Sychov, Oleg; Fox, Kevin; Wood, David; Boersma, Eric; Crijns, Harry; Fox, Kim; McGregor, Keith; Mulder, Barbara; Priori, Sylvia; Rydén, Lars; Tavazzi, Luigi; Vahanian, Alec; Vardas, Panos; Wijns, William; Sarkisyan, Karine; Glogar, H. D.; Derntl, Michael; Frick, Matthias; Pachinger, O.; Zwick, Ralf; Vrints, Christiaan; Van Hertbruggen, Els; Vercammen, Marc; Sysmans, Tineke; Schroeder, E.; Domange, Juliette; De Pril, Hilde; De Vriese, Johan; Van Hecke, Tonny; Legrand, V.; Gillon, Marie France; Richardy, Michel; Doneux, P.; Petrov, Ivo; Jorgova, J.; Starcevic, Boris; Eeckhout, Eric; Berger, Alexandre; Prudent, Veronique; Camenzind, E.; Masson, Nicolas; Zambartas, Costas; Kleanthous, Helen; Widimsky, Petr; Stellova, Blanka; Aschermann, Michael; Simek, Stanislav; Kautzner, J.; Karmazin, Vladimir; Svab, P.; Indrak, Jan; Branny, M.; Hladilova, Kveta; Kala, P.; Thayssen, P.; Cappelen, Helle; Jensen, Lisette Okkels; Gitt, A.; Gehrke, Konstanze; Erbel, R.; Gutersohn, Achim; Eggebrecht, Holger; Al Khani, Murad; Sechtem, Udo; Rosenberger, Antje; Vogelsberg, Holger; Klepzig, H.; Schmidt, Arnold; Silber, Sigmund; Mau, Birgit; Leuner, Christian; Czyborra, Karen; Reuschling, Christina; Muno, Eva; Kleber, F.; Rux, Sascha; Zeymer, U.; Saad, Aly; Ibrahim, B. S S; Elabady, Maged; Castro Beiras, A.; Fernandez, Jorge Salgado; Navarro Del Arno, Felipe; Iniguez Romo, A.; Cruz Fernandez, J. M.; Mayoreal, Alejandro Recio; Rebanal, Franciso Javier Rivero; De La Borbolla, Mariano Garcia; Chaparro, Marinela; Brotons, C.; Permanyer Miralda, C.; Vilai Perez, Srta Irma; Moris, Cesar; Fernandez Aviles, F.; De La Fuente Galan, Luis; Vinuela, Paula Tejedor; Malpartida De Torres, F.; Mora, Javier; Rodriguez, Ignacio Santos; Bustamante, Itziar Piedra; Sanchez Fernandez, Pedro L.; Diago Torrent, J. L.; Diez Gil, Jose L.; Perpinan, Javier; Palacios Motilla, V.; Soledad Alcasena Juango, M.; Berjon-Reyero, Jesus; Melgares Moreno, R.; Guerrero, Juan Carlos Fernandez; Lehto, S.; Savolainen, Kirsti; Nieminen, M. S.; Syvanne, Mikko; Cohen-Solal, A.; Oboa, Antoine Sylvain; Bassand, J. P.; Espinosa, Denis Pales; Jouet, Veronique; Montalescot, G.; Gallois, Vanessa; Daubert, J. C.; Clerc, Jean Michel; Machecourt, Jacques; Cottin, Y.; Walker, D.; Holland, Fhiona; Wood, D.; Prosser, Jenni; Muir, Lis; Barber, Kate; Cleland, J. G F; Cook, Jocelyn; Chapichadze, Zaza; Christos, Ioannis Skoularigisn Athanasiou; Tsiavou, Nastasia; Chrysohoou, Christina; Manginas, Athanassios; Terrovitis, John; Kanakakis, John; Vavuranakis, Manolis; Drakos, Stavros; Farmakis, Thomas; Samara, C.; Papakosta, Christina; Bourantas, Christos; Michalis, L. K.; Christos, Mpourantas; Foussas, Stefanos; Adamopoulou, Evdokia; Vardas, P. E.; Marketou, Mary; Alotti, N.; Basa, Anna Maria; Vigh, Andras; Preda, Istvan; Csoti, Eva; Keltai, M.; Kerkovits, G.; Hendler, Alberto; Blatt, Alex; Beyar, R.; Shefer, Arie; Halon, David; Bentzvi, Margalait; Avramovitch, Naomi; Bakst, Avinoam; Cafri, Carlos; Grosbard, Aviva; Margolis, Bella; Suleiman, Khalid; Banai, Shmuel; Meerkin, David; Mosseri, Morris; Guita, Pnina; Jabara, Rifat; Jafari, Jamal; Ben Shitrit, Debi; Ghasan; Salameh; Brezins, Marc; Van Den Akker-Berman, Lily; Guetta, Victor; Rozenman, Yoseph; Biagini, A.; Berti, Sergio; Ferrero, Massimo; Colombo, A.; Roccaforte, R.; Milici, Caterina; Scarpino, L.; Salvi, A.; Desideri, Alessandro; Sabbadin, Daniela; Galassi, Alfredo; Giuffrida, Giuseppe; Rognoni, Andrea; Vassanelli, Corrado; Paffoni, Paola; Cioppa, Angelo; Rubino, Paolo; De Carlo, Marco; Petronio, Anna Sonia; Naccarella, F.; Saia, Francesco; Marzocchi, Antonio; Maranga, Stefano Sdringola; Presbitero, P.; Valsecchi, Fazya; Piscione, Federico; Esposito, Giovanni; Santini, Napoli M.; Tubaro, Marco; Erglis, A.; Narbute, Inga; Kavoliuniene, Ausra; Zaliunas, R.; Navickas, Ramunas; Grabauskiene, V.; Luckute, Davia; Subkovas, Eduardas; Wagner, Daniel; Vermeer, F.; Lousberg, Aimee; Fransen, Heidi; Breeman, Arno; Tebbe, Henriette; De Boer, M. J.; Van Der Wal, Metske; Deckers, J.; Vos, Jeroen; Leenders, C. M.; Veerhoek, M. J.; Jansen, Chris; Bijl, M.; Koppelaar, Colinda; Van Den Linden, Den Linden; Brons, R.; Widdershofen, J. W M G; Broers, Herman; Kontny, F.; Jonzon, Marianne; Wodniecki, Jan; Tomasik, Andrzej; Trusz-Gluza, M.; Nowak, Seweryn; Ruzyllo, Witold; Deptuch, Tomasz; Marques, Jorge; Matias, F.; Madeira, H.; Oliveira, Joaquim; Sargento, Luis; Ionac, Adina; Dragulescu, Iosif Stefan; Mut-Vitcu, Bogdan; Maximov, Daniela; Dorobantu, M.; Apetrei, E.; Niculescu, Rodica; Petrescu, Virgil; Bucsa, Adrian; Deleanu, Dan; Benedek, I. S.; Hintea, Theodora; Aronov, D.; Tikhomirova, Elena; Kranjec, I.; Prokselj, Katja; Kanic, Vojko; Sepetoglu, Ahmet; Aytekin, S.; Aytekin, V.; Catakoglu, Alp Burak; Parlar, Hayri; Tufekcioglu, Suavi; Ozyedek, Zeki; Baltali, Mehmet; Kiziltan; Vukovic, Milan; Neskovic, A. N.

In: European Heart Journal, Vol. 26, No. 12, 2005, p. 1169-1179.

Research output: Contribution to journalReview article

Lenzen, MJ, Boersma, E, Bertrand, ME, Maier, W, Moris, C, Piscione, F, Sechtem, U, Stahle, E, Widimsky, P, De Jaegere, P, Scholte Op Reimer, WJM, Mercado, N, Wijns, W, Meier, B, Sergeant, P, Vos, J, Unger, F, Manini, M, Bramley, C, Laforest, V, Taylor, C, Del Gaiso, S, Huber, K, De Backer, G, Sirakova, V, Cerbak, R, Thayssen, P, Lehto, S, Blanc, JJ, Delahaye, F, Kobulia, B, Zeymer, U, Cokkinos, D, Karlocai, K, Graham, I, Shelley, E, Behar, S, Maggioni, A, Grabauskiene, V, Deckers, J, Asmussen, I, Stepinska, J, Gonçalves, L, Mareev, V, Riecansky, I, Kenda, MF, Alonso, A, Lopez-Sendon, JL, Rosengren, A, Buser, P, Okay, T, Sychov, O, Fox, K, Wood, D, Boersma, E, Crijns, H, Fox, K, McGregor, K, Mulder, B, Priori, S, Rydén, L, Tavazzi, L, Vahanian, A, Vardas, P, Wijns, W, Sarkisyan, K, Glogar, HD, Derntl, M, Frick, M, Pachinger, O, Zwick, R, Vrints, C, Van Hertbruggen, E, Vercammen, M, Sysmans, T, Schroeder, E, Domange, J, De Pril, H, De Vriese, J, Van Hecke, T, Legrand, V, Gillon, MF, Richardy, M, Doneux, P, Petrov, I, Jorgova, J, Starcevic, B, Eeckhout, E, Berger, A, Prudent, V, Camenzind, E, Masson, N, Zambartas, C, Kleanthous, H, Widimsky, P, Stellova, B, Aschermann, M, Simek, S, Kautzner, J, Karmazin, V, Svab, P, Indrak, J, Branny, M, Hladilova, K, Kala, P, Thayssen, P, Cappelen, H, Jensen, LO, Gitt, A, Gehrke, K, Erbel, R, Gutersohn, A, Eggebrecht, H, Al Khani, M, Sechtem, U, Rosenberger, A, Vogelsberg, H, Klepzig, H, Schmidt, A, Silber, S, Mau, B, Leuner, C, Czyborra, K, Reuschling, C, Muno, E, Kleber, F, Rux, S, Zeymer, U, Saad, A, Ibrahim, BSS, Elabady, M, Castro Beiras, A, Fernandez, JS, Navarro Del Arno, F, Iniguez Romo, A, Cruz Fernandez, JM, Mayoreal, AR, Rebanal, FJR, De La Borbolla, MG, Chaparro, M, Brotons, C, Permanyer Miralda, C, Vilai Perez, SI, Moris, C, Fernandez Aviles, F, De La Fuente Galan, L, Vinuela, PT, Malpartida De Torres, F, Mora, J, Rodriguez, IS, Bustamante, IP, Sanchez Fernandez, PL, Diago Torrent, JL, Diez Gil, JL, Perpinan, J, Palacios Motilla, V, Soledad Alcasena Juango, M, Berjon-Reyero, J, Melgares Moreno, R, Guerrero, JCF, Lehto, S, Savolainen, K, Nieminen, MS, Syvanne, M, Cohen-Solal, A, Oboa, AS, Bassand, JP, Espinosa, DP, Jouet, V, Montalescot, G, Gallois, V, Daubert, JC, Clerc, JM, Machecourt, J, Cottin, Y, Walker, D, Holland, F, Wood, D, Prosser, J, Muir, L, Barber, K, Cleland, JGF, Cook, J, Chapichadze, Z, Christos, ISA, Tsiavou, N, Chrysohoou, C, Manginas, A, Terrovitis, J, Kanakakis, J, Vavuranakis, M, Drakos, S, Farmakis, T, Samara, C, Papakosta, C, Bourantas, C, Michalis, LK, Christos, M, Foussas, S, Adamopoulou, E, Vardas, PE, Marketou, M, Alotti, N, Basa, AM, Vigh, A, Preda, I, Csoti, E, Keltai, M, Kerkovits, G, Hendler, A, Blatt, A, Beyar, R, Shefer, A, Halon, D, Bentzvi, M, Avramovitch, N, Bakst, A, Cafri, C, Grosbard, A, Margolis, B, Suleiman, K, Banai, S, Meerkin, D, Mosseri, M, Guita, P, Jabara, R, Jafari, J, Ben Shitrit, D, Ghasan, Salameh, Brezins, M, Van Den Akker-Berman, L, Guetta, V, Rozenman, Y, Biagini, A, Berti, S, Ferrero, M, Colombo, A, Roccaforte, R, Milici, C, Scarpino, L, Salvi, A, Desideri, A, Sabbadin, D, Galassi, A, Giuffrida, G, Rognoni, A, Vassanelli, C, Paffoni, P, Cioppa, A, Rubino, P, De Carlo, M, Petronio, AS, Naccarella, F, Saia, F, Marzocchi, A, Maranga, SS, Presbitero, P, Valsecchi, F, Piscione, F, Esposito, G, Santini, NM, Tubaro, M, Erglis, A, Narbute, I, Kavoliuniene, A, Zaliunas, R, Navickas, R, Grabauskiene, V, Luckute, D, Subkovas, E, Wagner, D, Vermeer, F, Lousberg, A, Fransen, H, Breeman, A, Tebbe, H, De Boer, MJ, Van Der Wal, M, Deckers, J, Vos, J, Leenders, CM, Veerhoek, MJ, Jansen, C, Bijl, M, Koppelaar, C, Van Den Linden, DL, Brons, R, Widdershofen, JWMG, Broers, H, Kontny, F, Jonzon, M, Wodniecki, J, Tomasik, A, Trusz-Gluza, M, Nowak, S, Ruzyllo, W, Deptuch, T, Marques, J, Matias, F, Madeira, H, Oliveira, J, Sargento, L, Ionac, A, Dragulescu, IS, Mut-Vitcu, B, Maximov, D, Dorobantu, M, Apetrei, E, Niculescu, R, Petrescu, V, Bucsa, A, Deleanu, D, Benedek, IS, Hintea, T, Aronov, D, Tikhomirova, E, Kranjec, I, Prokselj, K, Kanic, V, Sepetoglu, A, Aytekin, S, Aytekin, V, Catakoglu, AB, Parlar, H, Tufekcioglu, S, Ozyedek, Z, Baltali, M, Kiziltan, Vukovic, M & Neskovic, AN 2005, 'Management and outcome of patients with established coronary artery disease: The Euro Heart Survey on coronary revascularization', European Heart Journal, vol. 26, no. 12, pp. 1169-1179. https://doi.org/10.1093/eurheartj/ehi238
Lenzen, M. J. ; Boersma, E. ; Bertrand, M. E. ; Maier, W. ; Moris, C. ; Piscione, F. ; Sechtem, U. ; Stahle, E. ; Widimsky, P. ; De Jaegere, P. ; Scholte Op Reimer, W. J M ; Mercado, N. ; Wijns, W. ; Meier, B. ; Sergeant, P. ; Vos, J. ; Unger, F. ; Manini, Malika ; Bramley, Claire ; Laforest, Valérie ; Taylor, Charles ; Del Gaiso, Susan ; Huber, Kurt ; De Backer, Guy ; Sirakova, Vera ; Cerbak, Roman ; Thayssen, Per ; Lehto, Seppo ; Blanc, Jean Jacques ; Delahaye, François ; Kobulia, Bondo ; Zeymer, Uwe ; Cokkinos, Dennis ; Karlocai, Kristof ; Graham, Ian ; Shelley, Emer ; Behar, Shlomo ; Maggioni, Aldo ; Grabauskiene, Virginija ; Deckers, Jaap ; Asmussen, Inger ; Stepinska, Janina ; Gonçalves, Lino ; Mareev, Vyacheslav ; Riecansky, Igor ; Kenda, Miran F. ; Alonso, Angeles ; Lopez-Sendon, José Luis ; Rosengren, Annika ; Buser, Peter ; Okay, Tugrul ; Sychov, Oleg ; Fox, Kevin ; Wood, David ; Boersma, Eric ; Crijns, Harry ; Fox, Kim ; McGregor, Keith ; Mulder, Barbara ; Priori, Sylvia ; Rydén, Lars ; Tavazzi, Luigi ; Vahanian, Alec ; Vardas, Panos ; Wijns, William ; Sarkisyan, Karine ; Glogar, H. D. ; Derntl, Michael ; Frick, Matthias ; Pachinger, O. ; Zwick, Ralf ; Vrints, Christiaan ; Van Hertbruggen, Els ; Vercammen, Marc ; Sysmans, Tineke ; Schroeder, E. ; Domange, Juliette ; De Pril, Hilde ; De Vriese, Johan ; Van Hecke, Tonny ; Legrand, V. ; Gillon, Marie France ; Richardy, Michel ; Doneux, P. ; Petrov, Ivo ; Jorgova, J. ; Starcevic, Boris ; Eeckhout, Eric ; Berger, Alexandre ; Prudent, Veronique ; Camenzind, E. ; Masson, Nicolas ; Zambartas, Costas ; Kleanthous, Helen ; Widimsky, Petr ; Stellova, Blanka ; Aschermann, Michael ; Simek, Stanislav ; Kautzner, J. ; Karmazin, Vladimir ; Svab, P. ; Indrak, Jan ; Branny, M. ; Hladilova, Kveta ; Kala, P. ; Thayssen, P. ; Cappelen, Helle ; Jensen, Lisette Okkels ; Gitt, A. ; Gehrke, Konstanze ; Erbel, R. ; Gutersohn, Achim ; Eggebrecht, Holger ; Al Khani, Murad ; Sechtem, Udo ; Rosenberger, Antje ; Vogelsberg, Holger ; Klepzig, H. ; Schmidt, Arnold ; Silber, Sigmund ; Mau, Birgit ; Leuner, Christian ; Czyborra, Karen ; Reuschling, Christina ; Muno, Eva ; Kleber, F. ; Rux, Sascha ; Zeymer, U. ; Saad, Aly ; Ibrahim, B. S S ; Elabady, Maged ; Castro Beiras, A. ; Fernandez, Jorge Salgado ; Navarro Del Arno, Felipe ; Iniguez Romo, A. ; Cruz Fernandez, J. M. ; Mayoreal, Alejandro Recio ; Rebanal, Franciso Javier Rivero ; De La Borbolla, Mariano Garcia ; Chaparro, Marinela ; Brotons, C. ; Permanyer Miralda, C. ; Vilai Perez, Srta Irma ; Moris, Cesar ; Fernandez Aviles, F. ; De La Fuente Galan, Luis ; Vinuela, Paula Tejedor ; Malpartida De Torres, F. ; Mora, Javier ; Rodriguez, Ignacio Santos ; Bustamante, Itziar Piedra ; Sanchez Fernandez, Pedro L. ; Diago Torrent, J. L. ; Diez Gil, Jose L. ; Perpinan, Javier ; Palacios Motilla, V. ; Soledad Alcasena Juango, M. ; Berjon-Reyero, Jesus ; Melgares Moreno, R. ; Guerrero, Juan Carlos Fernandez ; Lehto, S. ; Savolainen, Kirsti ; Nieminen, M. S. ; Syvanne, Mikko ; Cohen-Solal, A. ; Oboa, Antoine Sylvain ; Bassand, J. P. ; Espinosa, Denis Pales ; Jouet, Veronique ; Montalescot, G. ; Gallois, Vanessa ; Daubert, J. C. ; Clerc, Jean Michel ; Machecourt, Jacques ; Cottin, Y. ; Walker, D. ; Holland, Fhiona ; Wood, D. ; Prosser, Jenni ; Muir, Lis ; Barber, Kate ; Cleland, J. G F ; Cook, Jocelyn ; Chapichadze, Zaza ; Christos, Ioannis Skoularigisn Athanasiou ; Tsiavou, Nastasia ; Chrysohoou, Christina ; Manginas, Athanassios ; Terrovitis, John ; Kanakakis, John ; Vavuranakis, Manolis ; Drakos, Stavros ; Farmakis, Thomas ; Samara, C. ; Papakosta, Christina ; Bourantas, Christos ; Michalis, L. K. ; Christos, Mpourantas ; Foussas, Stefanos ; Adamopoulou, Evdokia ; Vardas, P. E. ; Marketou, Mary ; Alotti, N. ; Basa, Anna Maria ; Vigh, Andras ; Preda, Istvan ; Csoti, Eva ; Keltai, M. ; Kerkovits, G. ; Hendler, Alberto ; Blatt, Alex ; Beyar, R. ; Shefer, Arie ; Halon, David ; Bentzvi, Margalait ; Avramovitch, Naomi ; Bakst, Avinoam ; Cafri, Carlos ; Grosbard, Aviva ; Margolis, Bella ; Suleiman, Khalid ; Banai, Shmuel ; Meerkin, David ; Mosseri, Morris ; Guita, Pnina ; Jabara, Rifat ; Jafari, Jamal ; Ben Shitrit, Debi ; Ghasan ; Salameh ; Brezins, Marc ; Van Den Akker-Berman, Lily ; Guetta, Victor ; Rozenman, Yoseph ; Biagini, A. ; Berti, Sergio ; Ferrero, Massimo ; Colombo, A. ; Roccaforte, R. ; Milici, Caterina ; Scarpino, L. ; Salvi, A. ; Desideri, Alessandro ; Sabbadin, Daniela ; Galassi, Alfredo ; Giuffrida, Giuseppe ; Rognoni, Andrea ; Vassanelli, Corrado ; Paffoni, Paola ; Cioppa, Angelo ; Rubino, Paolo ; De Carlo, Marco ; Petronio, Anna Sonia ; Naccarella, F. ; Saia, Francesco ; Marzocchi, Antonio ; Maranga, Stefano Sdringola ; Presbitero, P. ; Valsecchi, Fazya ; Piscione, Federico ; Esposito, Giovanni ; Santini, Napoli M. ; Tubaro, Marco ; Erglis, A. ; Narbute, Inga ; Kavoliuniene, Ausra ; Zaliunas, R. ; Navickas, Ramunas ; Grabauskiene, V. ; Luckute, Davia ; Subkovas, Eduardas ; Wagner, Daniel ; Vermeer, F. ; Lousberg, Aimee ; Fransen, Heidi ; Breeman, Arno ; Tebbe, Henriette ; De Boer, M. J. ; Van Der Wal, Metske ; Deckers, J. ; Vos, Jeroen ; Leenders, C. M. ; Veerhoek, M. J. ; Jansen, Chris ; Bijl, M. ; Koppelaar, Colinda ; Van Den Linden, Den Linden ; Brons, R. ; Widdershofen, J. W M G ; Broers, Herman ; Kontny, F. ; Jonzon, Marianne ; Wodniecki, Jan ; Tomasik, Andrzej ; Trusz-Gluza, M. ; Nowak, Seweryn ; Ruzyllo, Witold ; Deptuch, Tomasz ; Marques, Jorge ; Matias, F. ; Madeira, H. ; Oliveira, Joaquim ; Sargento, Luis ; Ionac, Adina ; Dragulescu, Iosif Stefan ; Mut-Vitcu, Bogdan ; Maximov, Daniela ; Dorobantu, M. ; Apetrei, E. ; Niculescu, Rodica ; Petrescu, Virgil ; Bucsa, Adrian ; Deleanu, Dan ; Benedek, I. S. ; Hintea, Theodora ; Aronov, D. ; Tikhomirova, Elena ; Kranjec, I. ; Prokselj, Katja ; Kanic, Vojko ; Sepetoglu, Ahmet ; Aytekin, S. ; Aytekin, V. ; Catakoglu, Alp Burak ; Parlar, Hayri ; Tufekcioglu, Suavi ; Ozyedek, Zeki ; Baltali, Mehmet ; Kiziltan ; Vukovic, Milan ; Neskovic, A. N. / Management and outcome of patients with established coronary artery disease : The Euro Heart Survey on coronary revascularization. In: European Heart Journal. 2005 ; Vol. 26, No. 12. pp. 1169-1179.
@article{b13726ac17be423883b492c8dc608fc3,
title = "Management and outcome of patients with established coronary artery disease: The Euro Heart Survey on coronary revascularization",
abstract = "Aims The purpose of the Euro Heart Survey Programme of the European Society of Cardiology is to evaluate to which extent clinical practice endorses existing guidelines as well as to identify differences in population profiles, patient management, and outcome across Europe. The current survey focuses on the invasive diagnosis and treatment of patients with established coronary artery disease (CAD). Methods and results Between November 2001 and March 2002, 7769 consecutive patients undergoing invasive evaluation at 130 hospitals (31 countries) were screened for the presence of one or more coronary stenosis .50{\%} in diameter. Patient demographics and comorbidity, clinical presentation, invasive parameters, treatment options, and procedural techniques were prospectively entered in an electronic database (550 variables 3/4 29 per diseased coronary segment). Major adverse cardiac events (MACE) were evaluated at 30 days and 1 year. Out of 5619 patients with angiographically proven coronary stenosis (72{\%} of screened population), 53{\%} presented with stable angina while ST elevation myocardial infarction (STEMI) was the indication for coronary angiography in 16{\%} and non-ST segment elevation myocardial infarction or unstable angina in 30{\%}. Only medical therapy was continued in 21{\%}, whereas mechanical revascularization was performed in the remainder [percutaneous coronary intervention (PCI) in 58{\%} and coronary artery bypass grafting (CABG) in 21{\%}]. Patients referred for PCI were younger, were more active, had a lower risk profile, and had less comorbid conditions. CABG was performed mostly in patients with left main lesions (21{\%}), two- (25{\%}), or three-vessel disease (67{\%}) with 4.1 diseased segments, on average. Single-vessel PCI was performed in 82{\%} of patients with either single- (45{\%}), two- (33{\%}), or three-vessel disease (21{\%}). Stents were used in 75{\%} of attempted lesions, with a large variation between sites. Direct PCI for STEMI was performed in 410 cases, representing 7{\%} of the entire workload in the participating catheterization laboratories. Time delay was within 90 min in 76{\%} of direct PCI cases. In keeping with the recommendations of practice guidelines, the survey identified under-use of adjunctive medication (GP IIb/IIIa receptor blockers, statins, and angiotensin-converting enzyme-inhibitors). Mortality rates at 30 days and 1 year were low in all subgroups. MACE primarily consisted of repeat PCI (12{\%}). Conclusion The current Euro Heart Survey on coronary revascularization was performed in the era of bare metal stenting and provides a global European picture of the invasive approach to patients with CAD. These data will serve as a benchmark for the future evaluation of the impact of drug-eluting stents on the practice of interventional cardiology and bypass surgery.",
keywords = "CABG, Coronary angiography, Coronary artery disease, PCI, Practice survey",
author = "Lenzen, {M. J.} and E. Boersma and Bertrand, {M. E.} and W. Maier and C. Moris and F. Piscione and U. Sechtem and E. Stahle and P. Widimsky and {De Jaegere}, P. and {Scholte Op Reimer}, {W. J M} and N. Mercado and W. Wijns and B. Meier and P. Sergeant and J. Vos and F. Unger and Malika Manini and Claire Bramley and Val{\'e}rie Laforest and Charles Taylor and {Del Gaiso}, Susan and Kurt Huber and {De Backer}, Guy and Vera Sirakova and Roman Cerbak and Per Thayssen and Seppo Lehto and Blanc, {Jean Jacques} and Fran{\cc}ois Delahaye and Bondo Kobulia and Uwe Zeymer and Dennis Cokkinos and Kristof Karlocai and Ian Graham and Emer Shelley and Shlomo Behar and Aldo Maggioni and Virginija Grabauskiene and Jaap Deckers and Inger Asmussen and Janina Stepinska and Lino Gon{\cc}alves and Vyacheslav Mareev and Igor Riecansky and Kenda, {Miran F.} and Angeles Alonso and Lopez-Sendon, {Jos{\'e} Luis} and Annika Rosengren and Peter Buser and Tugrul Okay and Oleg Sychov and Kevin Fox and David Wood and Eric Boersma and Harry Crijns and Kim Fox and Keith McGregor and Barbara Mulder and Sylvia Priori and Lars Ryd{\'e}n and Luigi Tavazzi and Alec Vahanian and Panos Vardas and William Wijns and Karine Sarkisyan and Glogar, {H. D.} and Michael Derntl and Matthias Frick and O. Pachinger and Ralf Zwick and Christiaan Vrints and {Van Hertbruggen}, Els and Marc Vercammen and Tineke Sysmans and E. Schroeder and Juliette Domange and {De Pril}, Hilde and {De Vriese}, Johan and {Van Hecke}, Tonny and V. Legrand and Gillon, {Marie France} and Michel Richardy and P. Doneux and Ivo Petrov and J. Jorgova and Boris Starcevic and Eric Eeckhout and Alexandre Berger and Veronique Prudent and E. Camenzind and Nicolas Masson and Costas Zambartas and Helen Kleanthous and Petr Widimsky and Blanka Stellova and Michael Aschermann and Stanislav Simek and J. Kautzner and Vladimir Karmazin and P. Svab and Jan Indrak and M. Branny and Kveta Hladilova and P. Kala and P. Thayssen and Helle Cappelen and Jensen, {Lisette Okkels} and A. Gitt and Konstanze Gehrke and R. Erbel and Achim Gutersohn and Holger Eggebrecht and {Al Khani}, Murad and Udo Sechtem and Antje Rosenberger and Holger Vogelsberg and H. Klepzig and Arnold Schmidt and Sigmund Silber and Birgit Mau and Christian Leuner and Karen Czyborra and Christina Reuschling and Eva Muno and F. Kleber and Sascha Rux and U. Zeymer and Aly Saad and Ibrahim, {B. S S} and Maged Elabady and {Castro Beiras}, A. and Fernandez, {Jorge Salgado} and {Navarro Del Arno}, Felipe and {Iniguez Romo}, A. and {Cruz Fernandez}, {J. M.} and Mayoreal, {Alejandro Recio} and Rebanal, {Franciso Javier Rivero} and {De La Borbolla}, {Mariano Garcia} and Marinela Chaparro and C. Brotons and {Permanyer Miralda}, C. and {Vilai Perez}, {Srta Irma} and Cesar Moris and {Fernandez Aviles}, F. and {De La Fuente Galan}, Luis and Vinuela, {Paula Tejedor} and {Malpartida De Torres}, F. and Javier Mora and Rodriguez, {Ignacio Santos} and Bustamante, {Itziar Piedra} and {Sanchez Fernandez}, {Pedro L.} and {Diago Torrent}, {J. L.} and {Diez Gil}, {Jose L.} and Javier Perpinan and {Palacios Motilla}, V. and {Soledad Alcasena Juango}, M. and Jesus Berjon-Reyero and {Melgares Moreno}, R. and Guerrero, {Juan Carlos Fernandez} and S. Lehto and Kirsti Savolainen and Nieminen, {M. S.} and Mikko Syvanne and A. Cohen-Solal and Oboa, {Antoine Sylvain} and Bassand, {J. P.} and Espinosa, {Denis Pales} and Veronique Jouet and G. Montalescot and Vanessa Gallois and Daubert, {J. C.} and Clerc, {Jean Michel} and Jacques Machecourt and Y. Cottin and D. Walker and Fhiona Holland and D. Wood and Jenni Prosser and Lis Muir and Kate Barber and Cleland, {J. G F} and Jocelyn Cook and Zaza Chapichadze and Christos, {Ioannis Skoularigisn Athanasiou} and Nastasia Tsiavou and Christina Chrysohoou and Athanassios Manginas and John Terrovitis and John Kanakakis and Manolis Vavuranakis and Stavros Drakos and Thomas Farmakis and C. Samara and Christina Papakosta and Christos Bourantas and Michalis, {L. K.} and Mpourantas Christos and Stefanos Foussas and Evdokia Adamopoulou and Vardas, {P. E.} and Mary Marketou and N. Alotti and Basa, {Anna Maria} and Andras Vigh and Istvan Preda and Eva Csoti and M. Keltai and G. Kerkovits and Alberto Hendler and Alex Blatt and R. Beyar and Arie Shefer and David Halon and Margalait Bentzvi and Naomi Avramovitch and Avinoam Bakst and Carlos Cafri and Aviva Grosbard and Bella Margolis and Khalid Suleiman and Shmuel Banai and David Meerkin and Morris Mosseri and Pnina Guita and Rifat Jabara and Jamal Jafari and {Ben Shitrit}, Debi and Ghasan and Salameh and Marc Brezins and {Van Den Akker-Berman}, Lily and Victor Guetta and Yoseph Rozenman and A. Biagini and Sergio Berti and Massimo Ferrero and A. Colombo and R. Roccaforte and Caterina Milici and L. Scarpino and A. Salvi and Alessandro Desideri and Daniela Sabbadin and Alfredo Galassi and Giuseppe Giuffrida and Andrea Rognoni and Corrado Vassanelli and Paola Paffoni and Angelo Cioppa and Paolo Rubino and {De Carlo}, Marco and Petronio, {Anna Sonia} and F. Naccarella and Francesco Saia and Antonio Marzocchi and Maranga, {Stefano Sdringola} and P. Presbitero and Fazya Valsecchi and Federico Piscione and Giovanni Esposito and Santini, {Napoli M.} and Marco Tubaro and A. Erglis and Inga Narbute and Ausra Kavoliuniene and R. Zaliunas and Ramunas Navickas and V. Grabauskiene and Davia Luckute and Eduardas Subkovas and Daniel Wagner and F. Vermeer and Aimee Lousberg and Heidi Fransen and Arno Breeman and Henriette Tebbe and {De Boer}, {M. J.} and {Van Der Wal}, Metske and J. Deckers and Jeroen Vos and Leenders, {C. M.} and Veerhoek, {M. J.} and Chris Jansen and M. Bijl and Colinda Koppelaar and {Van Den Linden}, {Den Linden} and R. Brons and Widdershofen, {J. W M G} and Herman Broers and F. Kontny and Marianne Jonzon and Jan Wodniecki and Andrzej Tomasik and M. Trusz-Gluza and Seweryn Nowak and Witold Ruzyllo and Tomasz Deptuch and Jorge Marques and F. Matias and H. Madeira and Joaquim Oliveira and Luis Sargento and Adina Ionac and Dragulescu, {Iosif Stefan} and Bogdan Mut-Vitcu and Daniela Maximov and M. Dorobantu and E. Apetrei and Rodica Niculescu and Virgil Petrescu and Adrian Bucsa and Dan Deleanu and Benedek, {I. S.} and Theodora Hintea and D. Aronov and Elena Tikhomirova and I. Kranjec and Katja Prokselj and Vojko Kanic and Ahmet Sepetoglu and S. Aytekin and V. Aytekin and Catakoglu, {Alp Burak} and Hayri Parlar and Suavi Tufekcioglu and Zeki Ozyedek and Mehmet Baltali and Kiziltan and Milan Vukovic and Neskovic, {A. N.}",
year = "2005",
doi = "10.1093/eurheartj/ehi238",
language = "English (US)",
volume = "26",
pages = "1169--1179",
journal = "European Heart Journal",
issn = "0195-668X",
publisher = "Oxford University Press",
number = "12",

}

TY - JOUR

T1 - Management and outcome of patients with established coronary artery disease

T2 - The Euro Heart Survey on coronary revascularization

AU - Lenzen, M. J.

AU - Boersma, E.

AU - Bertrand, M. E.

AU - Maier, W.

AU - Moris, C.

AU - Piscione, F.

AU - Sechtem, U.

AU - Stahle, E.

AU - Widimsky, P.

AU - De Jaegere, P.

AU - Scholte Op Reimer, W. J M

AU - Mercado, N.

AU - Wijns, W.

AU - Meier, B.

AU - Sergeant, P.

AU - Vos, J.

AU - Unger, F.

AU - Manini, Malika

AU - Bramley, Claire

AU - Laforest, Valérie

AU - Taylor, Charles

AU - Del Gaiso, Susan

AU - Huber, Kurt

AU - De Backer, Guy

AU - Sirakova, Vera

AU - Cerbak, Roman

AU - Thayssen, Per

AU - Lehto, Seppo

AU - Blanc, Jean Jacques

AU - Delahaye, François

AU - Kobulia, Bondo

AU - Zeymer, Uwe

AU - Cokkinos, Dennis

AU - Karlocai, Kristof

AU - Graham, Ian

AU - Shelley, Emer

AU - Behar, Shlomo

AU - Maggioni, Aldo

AU - Grabauskiene, Virginija

AU - Deckers, Jaap

AU - Asmussen, Inger

AU - Stepinska, Janina

AU - Gonçalves, Lino

AU - Mareev, Vyacheslav

AU - Riecansky, Igor

AU - Kenda, Miran F.

AU - Alonso, Angeles

AU - Lopez-Sendon, José Luis

AU - Rosengren, Annika

AU - Buser, Peter

AU - Okay, Tugrul

AU - Sychov, Oleg

AU - Fox, Kevin

AU - Wood, David

AU - Boersma, Eric

AU - Crijns, Harry

AU - Fox, Kim

AU - McGregor, Keith

AU - Mulder, Barbara

AU - Priori, Sylvia

AU - Rydén, Lars

AU - Tavazzi, Luigi

AU - Vahanian, Alec

AU - Vardas, Panos

AU - Wijns, William

AU - Sarkisyan, Karine

AU - Glogar, H. D.

AU - Derntl, Michael

AU - Frick, Matthias

AU - Pachinger, O.

AU - Zwick, Ralf

AU - Vrints, Christiaan

AU - Van Hertbruggen, Els

AU - Vercammen, Marc

AU - Sysmans, Tineke

AU - Schroeder, E.

AU - Domange, Juliette

AU - De Pril, Hilde

AU - De Vriese, Johan

AU - Van Hecke, Tonny

AU - Legrand, V.

AU - Gillon, Marie France

AU - Richardy, Michel

AU - Doneux, P.

AU - Petrov, Ivo

AU - Jorgova, J.

AU - Starcevic, Boris

AU - Eeckhout, Eric

AU - Berger, Alexandre

AU - Prudent, Veronique

AU - Camenzind, E.

AU - Masson, Nicolas

AU - Zambartas, Costas

AU - Kleanthous, Helen

AU - Widimsky, Petr

AU - Stellova, Blanka

AU - Aschermann, Michael

AU - Simek, Stanislav

AU - Kautzner, J.

AU - Karmazin, Vladimir

AU - Svab, P.

AU - Indrak, Jan

AU - Branny, M.

AU - Hladilova, Kveta

AU - Kala, P.

AU - Thayssen, P.

AU - Cappelen, Helle

AU - Jensen, Lisette Okkels

AU - Gitt, A.

AU - Gehrke, Konstanze

AU - Erbel, R.

AU - Gutersohn, Achim

AU - Eggebrecht, Holger

AU - Al Khani, Murad

AU - Sechtem, Udo

AU - Rosenberger, Antje

AU - Vogelsberg, Holger

AU - Klepzig, H.

AU - Schmidt, Arnold

AU - Silber, Sigmund

AU - Mau, Birgit

AU - Leuner, Christian

AU - Czyborra, Karen

AU - Reuschling, Christina

AU - Muno, Eva

AU - Kleber, F.

AU - Rux, Sascha

AU - Zeymer, U.

AU - Saad, Aly

AU - Ibrahim, B. S S

AU - Elabady, Maged

AU - Castro Beiras, A.

AU - Fernandez, Jorge Salgado

AU - Navarro Del Arno, Felipe

AU - Iniguez Romo, A.

AU - Cruz Fernandez, J. M.

AU - Mayoreal, Alejandro Recio

AU - Rebanal, Franciso Javier Rivero

AU - De La Borbolla, Mariano Garcia

AU - Chaparro, Marinela

AU - Brotons, C.

AU - Permanyer Miralda, C.

AU - Vilai Perez, Srta Irma

AU - Moris, Cesar

AU - Fernandez Aviles, F.

AU - De La Fuente Galan, Luis

AU - Vinuela, Paula Tejedor

AU - Malpartida De Torres, F.

AU - Mora, Javier

AU - Rodriguez, Ignacio Santos

AU - Bustamante, Itziar Piedra

AU - Sanchez Fernandez, Pedro L.

AU - Diago Torrent, J. L.

AU - Diez Gil, Jose L.

AU - Perpinan, Javier

AU - Palacios Motilla, V.

AU - Soledad Alcasena Juango, M.

AU - Berjon-Reyero, Jesus

AU - Melgares Moreno, R.

AU - Guerrero, Juan Carlos Fernandez

AU - Lehto, S.

AU - Savolainen, Kirsti

AU - Nieminen, M. S.

AU - Syvanne, Mikko

AU - Cohen-Solal, A.

AU - Oboa, Antoine Sylvain

AU - Bassand, J. P.

AU - Espinosa, Denis Pales

AU - Jouet, Veronique

AU - Montalescot, G.

AU - Gallois, Vanessa

AU - Daubert, J. C.

AU - Clerc, Jean Michel

AU - Machecourt, Jacques

AU - Cottin, Y.

AU - Walker, D.

AU - Holland, Fhiona

AU - Wood, D.

AU - Prosser, Jenni

AU - Muir, Lis

AU - Barber, Kate

AU - Cleland, J. G F

AU - Cook, Jocelyn

AU - Chapichadze, Zaza

AU - Christos, Ioannis Skoularigisn Athanasiou

AU - Tsiavou, Nastasia

AU - Chrysohoou, Christina

AU - Manginas, Athanassios

AU - Terrovitis, John

AU - Kanakakis, John

AU - Vavuranakis, Manolis

AU - Drakos, Stavros

AU - Farmakis, Thomas

AU - Samara, C.

AU - Papakosta, Christina

AU - Bourantas, Christos

AU - Michalis, L. K.

AU - Christos, Mpourantas

AU - Foussas, Stefanos

AU - Adamopoulou, Evdokia

AU - Vardas, P. E.

AU - Marketou, Mary

AU - Alotti, N.

AU - Basa, Anna Maria

AU - Vigh, Andras

AU - Preda, Istvan

AU - Csoti, Eva

AU - Keltai, M.

AU - Kerkovits, G.

AU - Hendler, Alberto

AU - Blatt, Alex

AU - Beyar, R.

AU - Shefer, Arie

AU - Halon, David

AU - Bentzvi, Margalait

AU - Avramovitch, Naomi

AU - Bakst, Avinoam

AU - Cafri, Carlos

AU - Grosbard, Aviva

AU - Margolis, Bella

AU - Suleiman, Khalid

AU - Banai, Shmuel

AU - Meerkin, David

AU - Mosseri, Morris

AU - Guita, Pnina

AU - Jabara, Rifat

AU - Jafari, Jamal

AU - Ben Shitrit, Debi

AU - Ghasan,

AU - Salameh,

AU - Brezins, Marc

AU - Van Den Akker-Berman, Lily

AU - Guetta, Victor

AU - Rozenman, Yoseph

AU - Biagini, A.

AU - Berti, Sergio

AU - Ferrero, Massimo

AU - Colombo, A.

AU - Roccaforte, R.

AU - Milici, Caterina

AU - Scarpino, L.

AU - Salvi, A.

AU - Desideri, Alessandro

AU - Sabbadin, Daniela

AU - Galassi, Alfredo

AU - Giuffrida, Giuseppe

AU - Rognoni, Andrea

AU - Vassanelli, Corrado

AU - Paffoni, Paola

AU - Cioppa, Angelo

AU - Rubino, Paolo

AU - De Carlo, Marco

AU - Petronio, Anna Sonia

AU - Naccarella, F.

AU - Saia, Francesco

AU - Marzocchi, Antonio

AU - Maranga, Stefano Sdringola

AU - Presbitero, P.

AU - Valsecchi, Fazya

AU - Piscione, Federico

AU - Esposito, Giovanni

AU - Santini, Napoli M.

AU - Tubaro, Marco

AU - Erglis, A.

AU - Narbute, Inga

AU - Kavoliuniene, Ausra

AU - Zaliunas, R.

AU - Navickas, Ramunas

AU - Grabauskiene, V.

AU - Luckute, Davia

AU - Subkovas, Eduardas

AU - Wagner, Daniel

AU - Vermeer, F.

AU - Lousberg, Aimee

AU - Fransen, Heidi

AU - Breeman, Arno

AU - Tebbe, Henriette

AU - De Boer, M. J.

AU - Van Der Wal, Metske

AU - Deckers, J.

AU - Vos, Jeroen

AU - Leenders, C. M.

AU - Veerhoek, M. J.

AU - Jansen, Chris

AU - Bijl, M.

AU - Koppelaar, Colinda

AU - Van Den Linden, Den Linden

AU - Brons, R.

AU - Widdershofen, J. W M G

AU - Broers, Herman

AU - Kontny, F.

AU - Jonzon, Marianne

AU - Wodniecki, Jan

AU - Tomasik, Andrzej

AU - Trusz-Gluza, M.

AU - Nowak, Seweryn

AU - Ruzyllo, Witold

AU - Deptuch, Tomasz

AU - Marques, Jorge

AU - Matias, F.

AU - Madeira, H.

AU - Oliveira, Joaquim

AU - Sargento, Luis

AU - Ionac, Adina

AU - Dragulescu, Iosif Stefan

AU - Mut-Vitcu, Bogdan

AU - Maximov, Daniela

AU - Dorobantu, M.

AU - Apetrei, E.

AU - Niculescu, Rodica

AU - Petrescu, Virgil

AU - Bucsa, Adrian

AU - Deleanu, Dan

AU - Benedek, I. S.

AU - Hintea, Theodora

AU - Aronov, D.

AU - Tikhomirova, Elena

AU - Kranjec, I.

AU - Prokselj, Katja

AU - Kanic, Vojko

AU - Sepetoglu, Ahmet

AU - Aytekin, S.

AU - Aytekin, V.

AU - Catakoglu, Alp Burak

AU - Parlar, Hayri

AU - Tufekcioglu, Suavi

AU - Ozyedek, Zeki

AU - Baltali, Mehmet

AU - Kiziltan,

AU - Vukovic, Milan

AU - Neskovic, A. N.

PY - 2005

Y1 - 2005

N2 - Aims The purpose of the Euro Heart Survey Programme of the European Society of Cardiology is to evaluate to which extent clinical practice endorses existing guidelines as well as to identify differences in population profiles, patient management, and outcome across Europe. The current survey focuses on the invasive diagnosis and treatment of patients with established coronary artery disease (CAD). Methods and results Between November 2001 and March 2002, 7769 consecutive patients undergoing invasive evaluation at 130 hospitals (31 countries) were screened for the presence of one or more coronary stenosis .50% in diameter. Patient demographics and comorbidity, clinical presentation, invasive parameters, treatment options, and procedural techniques were prospectively entered in an electronic database (550 variables 3/4 29 per diseased coronary segment). Major adverse cardiac events (MACE) were evaluated at 30 days and 1 year. Out of 5619 patients with angiographically proven coronary stenosis (72% of screened population), 53% presented with stable angina while ST elevation myocardial infarction (STEMI) was the indication for coronary angiography in 16% and non-ST segment elevation myocardial infarction or unstable angina in 30%. Only medical therapy was continued in 21%, whereas mechanical revascularization was performed in the remainder [percutaneous coronary intervention (PCI) in 58% and coronary artery bypass grafting (CABG) in 21%]. Patients referred for PCI were younger, were more active, had a lower risk profile, and had less comorbid conditions. CABG was performed mostly in patients with left main lesions (21%), two- (25%), or three-vessel disease (67%) with 4.1 diseased segments, on average. Single-vessel PCI was performed in 82% of patients with either single- (45%), two- (33%), or three-vessel disease (21%). Stents were used in 75% of attempted lesions, with a large variation between sites. Direct PCI for STEMI was performed in 410 cases, representing 7% of the entire workload in the participating catheterization laboratories. Time delay was within 90 min in 76% of direct PCI cases. In keeping with the recommendations of practice guidelines, the survey identified under-use of adjunctive medication (GP IIb/IIIa receptor blockers, statins, and angiotensin-converting enzyme-inhibitors). Mortality rates at 30 days and 1 year were low in all subgroups. MACE primarily consisted of repeat PCI (12%). Conclusion The current Euro Heart Survey on coronary revascularization was performed in the era of bare metal stenting and provides a global European picture of the invasive approach to patients with CAD. These data will serve as a benchmark for the future evaluation of the impact of drug-eluting stents on the practice of interventional cardiology and bypass surgery.

AB - Aims The purpose of the Euro Heart Survey Programme of the European Society of Cardiology is to evaluate to which extent clinical practice endorses existing guidelines as well as to identify differences in population profiles, patient management, and outcome across Europe. The current survey focuses on the invasive diagnosis and treatment of patients with established coronary artery disease (CAD). Methods and results Between November 2001 and March 2002, 7769 consecutive patients undergoing invasive evaluation at 130 hospitals (31 countries) were screened for the presence of one or more coronary stenosis .50% in diameter. Patient demographics and comorbidity, clinical presentation, invasive parameters, treatment options, and procedural techniques were prospectively entered in an electronic database (550 variables 3/4 29 per diseased coronary segment). Major adverse cardiac events (MACE) were evaluated at 30 days and 1 year. Out of 5619 patients with angiographically proven coronary stenosis (72% of screened population), 53% presented with stable angina while ST elevation myocardial infarction (STEMI) was the indication for coronary angiography in 16% and non-ST segment elevation myocardial infarction or unstable angina in 30%. Only medical therapy was continued in 21%, whereas mechanical revascularization was performed in the remainder [percutaneous coronary intervention (PCI) in 58% and coronary artery bypass grafting (CABG) in 21%]. Patients referred for PCI were younger, were more active, had a lower risk profile, and had less comorbid conditions. CABG was performed mostly in patients with left main lesions (21%), two- (25%), or three-vessel disease (67%) with 4.1 diseased segments, on average. Single-vessel PCI was performed in 82% of patients with either single- (45%), two- (33%), or three-vessel disease (21%). Stents were used in 75% of attempted lesions, with a large variation between sites. Direct PCI for STEMI was performed in 410 cases, representing 7% of the entire workload in the participating catheterization laboratories. Time delay was within 90 min in 76% of direct PCI cases. In keeping with the recommendations of practice guidelines, the survey identified under-use of adjunctive medication (GP IIb/IIIa receptor blockers, statins, and angiotensin-converting enzyme-inhibitors). Mortality rates at 30 days and 1 year were low in all subgroups. MACE primarily consisted of repeat PCI (12%). Conclusion The current Euro Heart Survey on coronary revascularization was performed in the era of bare metal stenting and provides a global European picture of the invasive approach to patients with CAD. These data will serve as a benchmark for the future evaluation of the impact of drug-eluting stents on the practice of interventional cardiology and bypass surgery.

KW - CABG

KW - Coronary angiography

KW - Coronary artery disease

KW - PCI

KW - Practice survey

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U2 - 10.1093/eurheartj/ehi238

DO - 10.1093/eurheartj/ehi238

M3 - Review article

VL - 26

SP - 1169

EP - 1179

JO - European Heart Journal

JF - European Heart Journal

SN - 0195-668X

IS - 12

ER -