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Major advances in cardiovascular medicine have been driven by innovations in basic research in biological and technical sciences. Despite the clear evidence regarding the treatments that have been demonstrated to be useful to improve patients' outcomes, their transferability to everyday clinical practice seems to be at least suboptimal. The European Society of Cardiology (ESC), therefore, planned to support a program, denominated EuroHeart, for continuous data collection of standardized and/or harmonized variables in common cardiovascular diseases, such as ACS, HF and A Fib. EuroHeart is an observational, prospective, multicentre initiative with continuous data collection in consecutive patients with ACS, HF and A Fib to support continuous quality of care improvement through the evaluation of quality indicators (QIs) defined by the ESC. All patients included in the EuroHeart initiative, will enter a 12 month longitudinal follow-up with the collection of clinical events and clinical status data.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adherence to European Society of Cardiology (ESC) quality indicators | Other | EuroHeart is an initiative of the European Society of Cardiology (ESC) supporting continuous quality-of-care improvement through individual patient data collection. The present registry component refers specifically to the Italian implementation of the EuroHeart programme, aimed at monitoring and improving adherence to ESC quality indicators within Italian clinical practice. |
| Measure | Description | Time Frame |
|---|---|---|
| Adherence to ESC Quality indicators (STEMI patients reperfused) | Proportion of patients with STEMI reperfused among those eligible (onset of symptoms to diagnosis <12 hours) | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (STEMI patients reperfused <90 min) | Proportion of patients with STEMI who receive timely reperfusion with PCI (wire crossing) within 90 minutes from initial diagnostic ECG | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (coronary angiography in NSTEMI patients within 24 hours) | Rate of NSTEMI patients who receive invasive within 24 hours from their diagnosis | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (radial access) | Use of radial access in case of invasive strategy for patients with STEMI and NSTEMI | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (time to reperfusion in STEMI patients) | The time between the initial STEMI diagnosis and arterial access (absolute value) for primary PCI | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (pre-discharge LVEF evaluation in STEMI and NSTEMI patients) | The proportion of patients with STEMI and NSTEMI who have an assessment of their left ventricular ejection fraction (LVEF) before hospital discharge | From enrollment to 12 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiovascular and non-cardiovascular events during follow-up | Proportion of patients with clinical events at 12 months | 12 months follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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patients with ACS
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Furio Colivicchi, MD | Contact | 055/51013741 | euroheart.italia@heartcarefoundation.itON.IT | |
| Aldo P Maggioni, MD | Contact | 055/5101361 | maggioni@heartcarefoundation.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ospedale Valdarno S. Maria Della Gruccia - U.O. Malattie Cardiovascolari | Recruiting | Montevarchi | AREZZO | 52027 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33550362 | Background | Schiele F, Aktaa S, Rossello X, Ahrens I, Claeys MJ, Collet JP, Fox KAA, Gale CP, Huber K, Iakobishvili Z, Keys A, Lambrinou E, Leonardi S, Lettino M, Masoudi FA, Price S, Quinn T, Swahn E, Thiele H, Timmis A, Tubaro M, Vrints CJM, Walker D, Bueno H; ESC Scientific Document Group; Halvorsen S, Jernberg T, Jortveit J, Blondal M, Ibanez B, Hassager C. 2020 Update of the quality indicators for acute myocardial infarction: a position paper of the Association for Acute Cardiovascular Care: the study group for quality indicators from the ACVC and the NSTE-ACS guideline group. Eur Heart J Acute Cardiovasc Care. 2021 Apr 8;10(2):224-233. doi: 10.1093/ehjacc/zuaa037. | |
| 36243903 |
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| Adherence to ESC Quality indicators (in hospital LDL-c evaluation in STEMI and NSTEMI patients) | The proportion of patients with STEMI and NSTEMI who have their LDL cholesterol measured during hospitalization | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (DAPT prescription at discharge in STEMI and NSTEMI patients) | Proportion of patients with STEMI and NSTEMI discharged on dual antiplatelet therapy | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (LLA prescription at discharge in STEMI and NSTEMI patients) | Proportion of patients discharged from hospital on Lipid Lowering Agents (LLA) | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (ACEi/ARB/ARNI prescription at discharge in patients with LVEF ≤40%) | Proportion of patients with LVEF ≤40% who are discharged from hospital on angiotensin converting enzymes inhibitors (ACEi) or angiotensin receptor blockers (ARBs) or angiotensin receptor-neprilysin inhibitor (ARNI) | From enrollment to 12 months follow-up |
| Adherence to ESC Quality indicators (Beta blockers prescription at discharge in patients with LVEF ≤40%) | Proportion of patients with LVEF ≤40% who are discharged from hospital on beta blockers. | From enrollment to 12 months follow-up |
| Ospedale Miulli - U.O.C. Cardiologia - Utic | Recruiting | Acquaviva delle Fonti | BA | 70021 | Italy |
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| Ospedale Della Murgia - Fabio Perinei - S.C. Cardiologia-Utic | Recruiting | Altamura | BA | 70022 | Italy |
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| Ospedale San Paolo - Cardiologia-Utic | Recruiting | Bari | BA | 70123 | Italy |
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| Ospedale Di Venere - U.O.C. Di Cardiologia | Recruiting | Bari | BA | 70131 | Italy |
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| Asst Spedali Civili - Cardiologia | Recruiting | Brescia | BS | 25123 | Italy |
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| A.O.U. Cagliari Policlinico Monserrato - Sc Cardiologia Utic Emodinamica | Active, not recruiting | Monserrato | CAGLIARI | 09124 | Italy |
| Azienda Ospedaliera Cannizzaro - Uoc Cardiologia | Recruiting | Catania | CATANIA | 95126 | Italy |
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| Ospedale A. Cardarelli - U.O. Cardiologia E Utic | Recruiting | Campobasso | CB | 86100 | Italy |
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| Azienda Ospedaliera S. Anna E S. Sebastiano - U.O. Cardiologia D'Emergenza Con Utic | Recruiting | Caserta | CE | 81100 | Italy |
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| Casa Di Cura San Michele - Uo Cardiologia | Recruiting | Maddaloni | CE | 81024 | Italy |
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| Ospedale Di Cremona - Uo Di Cardiologia | Active, not recruiting | Cremona | CR | 26100 | Italy |
| Ospedale Civile Ferrari - U.O.C. Cardiologia-Utic | Not yet recruiting | Castrovillari | CS | 87012 | Italy |
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| Ospedale Annunziata - Uoc Cardiologia | Recruiting | Cosenza | CS | 87100 | Italy |
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| P.O. "Pugliese" - A.O.U. "Renato Dulbecco" - Utic-Emodinamica E Cardiologia Interventistica | Not yet recruiting | Catanzaro | CZ | 88100 | Italy |
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| Policlinico Riuniti - S.C. Di Cardiologia Universitaria-Utic | Recruiting | Foggia | FG | 71100 | Italy |
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| Ospedale San Giuseppe - Cardiologia | Recruiting | Empoli | FI | 50053 | Italy |
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| Aou Careggi - Interventistica Cardiologica Strutturale | Active, not recruiting | Florence | FI | 50134 | Italy |
| Irccs Ospedale Policlinico San Martino - Unita' Operativa Cardiologia | Recruiting | Genova | GE | 16132 | Italy |
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| Irccs Centro Neurolesi Bonino Pulejo - P.O. Piemonte - Cardiologia E Utic | Recruiting | Messina | MESSINA | 98124 | Italy |
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| Policlinico G. Martino U.O.C - Cardiologia Con Utic | Recruiting | Messina | MESSINA | 98124 | Italy |
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| Ospedale Civile Fornaroli - U.O. Cardiologia | Recruiting | Magenta | MILANO | 20013 | Italy |
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| Irccs Ospedale San Raffaele - Area Unica Di Terapia Intensiva Cardiologica E Cch | Not yet recruiting | Milan | MILANO | 20132 | Italy |
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| Ospedale L. Sacco - Sc Cardiologia | Active, not recruiting | Milan | MILANO | 20157 | Italy |
| Asst Ospedale Metropolitano Niguarda - Cardiologia 1 - Emodinamica | Active, not recruiting | Milan | Mlano | 20162 | Italy |
| Aou Federico Ii - Uoc Cardiologia Emodinamica Ed Utic | Recruiting | Naples | NAPOLI | 80131 | Italy |
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| Aou Policlinico P. Giaccone - U.O.C. Cardiologia | Active, not recruiting | Palermo | PALERMO | 90127 | Italy |
| Aor Villa Sofia-Cervello Po Villa Sofia - Uoc Cardiologia E Utic E Emodinamica -Villa Sofia | Recruiting | Palermo | PALERMO | 90146 | Italy |
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| Azienda Ospedale-Universita Padova - Uosd Terapia Intensiva Cardiologica | Active, not recruiting | Padova | PD | 35128 | Italy |
| Ospedale Civile Dello Spirito Santo - Cardiologia Con Utic | Recruiting | Pescara | PE | 65124 | Italy |
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| Azienda Ospedaliera Di Perugia - S.C. Cardiologia | Not yet recruiting | Perugia | PG | 06129 | Italy |
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| Ospedale Civile - U.O.C. Cardiologia - Utic | Recruiting | Fidenza | PR | 43036 | Italy |
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| Presidio Ospedaliero San Salvatore - Cardiologia E Utic | Recruiting | Pesaro | PU | 61121 | Italy |
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| Po Santa Maria Nuova - Ausl Re Irccs - Soc Cardiologia Ospedaliera | Recruiting | Reggio Emilia | RE | 42100 | Italy |
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| Ospedale Giovanni Paolo Ii - U.O.C. Cardiologia-Utic | Recruiting | Ragusa | RG | 97100 | Italy |
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| P.O. San Camillo de Lellis - U.O.C. Cardiologia | Recruiting | Rieti | Rieti | 02100 | Italy |
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| Campus Biomedico - Cardiologia | Not yet recruiting | Roma | RM | 00128 | Italy |
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| P.O. San Filippo Neri - Asl Roma 1 - Cardiologia Intensiva Ed Interventistica | Not yet recruiting | Roma | RM | 00135 | Italy |
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| Ospedale Sandro Pertini - Uoc Cardiologia - Utic | Not yet recruiting | Roma | RM | 00157 | Italy |
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| Policlinico Casilino - U.O.C. Cardiologia | Not yet recruiting | Roma | RM | 00169 | Italy |
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| Ospedale Madre Giuseppina Vannini - U.O.C. Cardiologia | Recruiting | Roma | RM | 00177 | Italy |
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| Ospedale Santa Maria Della Misericordia - U.O.C. Cardiologia | Recruiting | Rovigo | RO | 45100 | Italy |
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| Ospedale San Luca - U.O. Utic - Cardiologia | Recruiting | Vallo della Lucania | SA | 84078 | Italy |
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| Aou Senese Ospedale S. Maria Alle Scotte - Cardiologia | Not yet recruiting | Siena | SI | 53100 | Italy |
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| P.O. Levante - Ospedale San Paolo - S.C. Cardiologia Levante | Recruiting | Savona | SV | 17100 | Italy |
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| Ospedale Civile - S.C. Cardiologia | Not yet recruiting | Ivrea | TO | 10015 | Italy |
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| Aou Citta' Della Salute E Della Scienza - S.C. Cardiologia U | Recruiting | Torino | TO | 10126 | Italy |
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| Ospedale Santa Maria Del Carmine - U.O. Cardiologia Ad Indirizzo Elettrofisiologia | Recruiting | Rovereto | TRENTO | 38068 | Italy |
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| Ospedale Santa Chiara - Divisione Di Cardiologia | Recruiting | Trento | TRENTO | 38122 | Italy |
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| Asugi - Ospedale Di Cattinara - S.C. Cardiologia | Recruiting | Trieste | TS | 34149 | Italy |
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| Ospedale Ca' Foncello - U.O.C. Cardiologia | Recruiting | Treviso | TV | 31100 | Italy |
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| Pou "Santa Maria Della Misericordia" - S.O.C. Cardiologia | Recruiting | Udine | UD | 33100 | Italy |
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| Presidio Ospedaliero Di Saronno - U.O.C. Di Cardiologia | Not yet recruiting | Saronno | VARESE | 21047 | Italy |
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| Ospedale Civile - U.O.C. Di Cardiologia | Recruiting | Arzignano | VI | 36071 | Italy |
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| Irccs Ospedale Sacro Cuore Don Calabria - U.O. Di Cardiologia | Recruiting | Negrar | VR | 37024 | Italy |
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| Aoui Di Verona - U.O. Cardiologia | Active, not recruiting | Verona | VR | 37126 | Italy |
| Aou Maggiore Della Carita' - Ssvd Utic | Recruiting | Novara | 28100 | Italy |
|
| Background |
| Batra G, Aktaa S, Camm AJ, Costa F, Di Biase L, Duncker D, Fauchier L, Fragakis N, Frost L, Hijazi Z, Juhlin T, Merino JL, Mont L, Nielsen JC, Oldgren J, Polewczyk A, Potpara T, Sacher F, Sommer P, Tilz R, Maggioni AP, Wallentin L, Casadei B, Gale CP. Data standards for atrial fibrillation/flutter and catheter ablation: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart). Eur Heart J Qual Care Clin Outcomes. 2023 Sep 12;9(6):609-620. doi: 10.1093/ehjqcco/qcac068. |
| 35443059 | Background | Aktaa S, Batra G, Cleland JGF, Coats A, Lund LH, McDonagh T, Rosano G, Seferovic P, Vasko P, Wallentin L, Maggioni AP, Casadei B, Gale CP; Heart Failure Association of the European Society of Cardiology. Data standards for heart failure: the European Unified Registries for Heart Care Evaluation and Randomized Trials (EuroHeart). Eur Heart J. 2022 Jun 14;43(23):2185-2195. doi: 10.1093/eurheartj/ehac151. |
| 35380662 | Background | Association of Cardiovascular Nursing and Allied Professions (ACNAP); Association for Acute CardioVascular Care (ACVC); European Association of Percutaneous Cardiovascular Interventions (EAPCI); EURObservational Research Programme (EORP); ESC Patient Forum; ESC Working Group on Thrombosis and ESC Committee for Young Cardiovascular Professionals; Batra G, Aktaa S, Wallentin L, Maggioni AP, Ludman P, Erlinge D, Casadei B, Gale CP. Data standards for acute coronary syndrome and percutaneous coronary intervention: the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart). Eur Heart J. 2022 Jun 21;43(24):2269-2285. doi: 10.1093/eurheartj/ehac133. |
| 32845314 | Background | Aktaa S, Batra G, Wallentin L, Baigent C, Erlinge D, James S, Ludman P, Maggioni AP, Price S, Weston C, Casadei B, Gale CP. European Society of Cardiology methodology for the development of quality indicators for the quantification of cardiovascular care and outcomes. Eur Heart J Qual Care Clin Outcomes. 2022 Jan 5;8(1):4-13. doi: 10.1093/ehjqcco/qcaa069. |
| 31505603 | Background | Wallentin L, Gale CP, Maggioni A, Bardinet I, Casadei B. EuroHeart: European Unified Registries On Heart Care Evaluation and Randomized Trials. Eur Heart J. 2019 Sep 1;40(33):2745-2749. doi: 10.1093/eurheartj/ehz599. No abstract available. |
| ID | Term |
|---|---|
| D054058 | Acute Coronary Syndrome |
| D000072657 | ST Elevation Myocardial Infarction |
| D000072658 | Non-ST Elevated Myocardial Infarction |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D009203 | Myocardial Infarction |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
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