European Registry on STEMI Patients Transferred for PCI With Upstream Use of Abciximab - EuroTransfer Registry

Inclusion Criteria:

PATIENTS:

• All consecutive STEMI patients >=18years arriving to the Cath Lab hospital (invasive facility center) from transfer.

  • Transfer with respect to this registry is defined as patients that reach the Cath Lab hospital:

    1. transferred from a surrounding regional community hospitals that the Cath Lab hospital has an established referral pattern with or

    2. after being picked–up by an ambulance which is equipped/staffed to provide specific medical therapy (like prehospital thrombolysis or upstream abciximab). Usually these have a physician or specifically trained nurse on board.

       CENTRES:

  • Provide 24 hour/7 days on duty PCI service.
  • Has an established regional hospital referral network with >=8 patients/month arriving from transfer (as defined above).
  • A rate of >=10% of these transfer patients who receive upstream abciximab before or during transfer to the Cath Lab hospital. Start of abciximab in the ER or CCU of the Cath Lab hospital will not be considered as upstream start of abciximab.

Exclusion Criteria:

• Patients who arrive to the Cath Lab from other pathways than those specified above (a. and b.), e.g. those who come by ambulances that do not provide specific medical therapy or arrive directly to the ER of the Cath Lab hospital by own feet/car will not be included in this registry.
• Patients from controlled clinical trials shall be included as long as their actual treatment is fully known. Thus, participants from randomized trials with blinded treatment cannot be included in this registry.