{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T03:49:16Z","timestamp":1793591356265,"version":"4.5.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T00:00:00Z","timestamp":1615507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100002301","name":"Estonian Research Council","doi-asserted-by":"publisher","award":["PRG435"],"award-info":[{"award-number":["PRG435"]}],"id":[{"id":"10.13039\/501100002301","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006095","name":"South-Eastern Norway Regional Health Authority","doi-asserted-by":"publisher","award":["2017086"],"award-info":[{"award-number":["2017086"]}],"id":[{"id":"10.13039\/501100006095","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Describe the characteristics, management and outcomes of hospitalized ST-segment elevation myocardial infarction (STEMI) patients according to national ongoing myocardial infarction registries in Estonia, Hungary, Norway, and Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Country-level aggregated data was used to study baseline characteristics, use of in-hospital procedures, medications at discharge, in-hospital complications, 30-day and 1-year mortality for all patients admitted with STEMI during 2014\u20132017 using data from EMIR (Estonia; n\u2009=\u20094584), HUMIR (Hungary; n\u2009=\u200923 685), NORMI (Norway; n\u2009=\u200912 414, data for 2013\u20132016), and SWEDEHEART (Sweden; n\u2009=\u200923 342). Estonia and Hungary had a higher proportion of women, patients with hypertension, diabetes, and peripheral artery disease compared to Norway and Sweden. Rates of reperfusion varied from 75.7% in Estonia to 84.0% in Sweden. Rates of recommendation of discharge medications were generally high and similar. However, Estonia demonstrated the lowest rates of dual antiplatelet therapy (78.1%) and statins (86.5%). Norway had the lowest rates of beta-blockers (80.5%) and angiotensin-converting enzyme inhibitors\/angiotensin II receptor blockers (61.5%). The 30-day mortality rates ranged between 9.9% and 13.4% remaining lowest in Sweden. One-year mortality rates ranged from 14.8% in Sweden and 16.0% in Norway to 20.6% in Hungary and 21.1% in Estonia. Age-adjusted lethality rates were highest for Hungary and lowest for Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This inter-country comparison of data from four national ongoing European registries provides new insights into the risk factors, management and outcomes of patients with STEMI. There are several possible reasons for the findings, including coverage of the registries and variability of baseline-characteristics\u2019 definitions that need to be further explored.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjqcco\/qcaa098","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T07:31:08Z","timestamp":1609918268000},"page":"307-314","source":"Crossref","is-referenced-by-count":26,"title":["Comparison of management and outcomes of ST-segment elevation myocardial infarction patients in Estonia, Hungary, Norway, and Sweden according to national ongoing registries"],"prefix":"10.1093","volume":"8","author":[{"given":"Mai","family":"Bl\u00f6ndal","sequence":"first","affiliation":[{"name":"Department of Cardiology, University of Tartu , 8 L. Puusepa Street, 51014 Tartu, Estonia"},{"name":"Department of Cardiology, Heart Clinic, Tartu University Hospital , 8 L. Puusepa Street, 51014 Tartu, Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiia","family":"Ainla","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Tartu , 8 L. Puusepa Street, 51014 Tartu, Estonia"},{"name":"Centre of Cardiology, North Estonia Medical Centre , 19 J. S\u00fctiste Street, 13419 Tallinn, Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5049-4852","authenticated-orcid":false,"given":"Jaan","family":"Eha","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Tartu , 8 L. Puusepa Street, 51014 Tartu, Estonia"},{"name":"Department of Cardiology, Heart Clinic, Tartu University Hospital , 8 L. Puusepa Street, 51014 Tartu, Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piret","family":"L\u00f5iveke","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Tartu , 8 L. Puusepa Street, 51014 Tartu, Estonia"},{"name":"Centre of Cardiology, North Estonia Medical Centre , 19 J. S\u00fctiste Street, 13419 Tallinn, Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9791-3989","authenticated-orcid":false,"given":"Toomas","family":"Marandi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University of Tartu , 8 L. Puusepa Street, 51014 Tartu, Estonia"},{"name":"Centre of Cardiology, North Estonia Medical Centre , 19 J. S\u00fctiste Street, 13419 Tallinn, Estonia"},{"name":"Quality Department, North Estonia Medical Centre , 19 J. S\u00fctiste Street, 13419 Tallinn, Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aet","family":"Saar","sequence":"additional","affiliation":[{"name":"Centre of Cardiology, North Estonia Medical Centre , 19 J. S\u00fctiste Street, 13419 Tallinn, Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudrun","family":"Veldre","sequence":"additional","affiliation":[{"name":"Estonian Myocardial Infarction Registry, Tartu University Hospital , 8 L. Puusepa Street, 51014 Tartu, Estonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2377-436X","authenticated-orcid":false,"given":"Robert","family":"Edfors","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet , Stockholm 182 88, Sweden"},{"name":"Bayer AB , 35 Berzelius road, 171 65 Solna, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7267-2178","authenticated-orcid":false,"given":"Christian","family":"Lewinter","sequence":"additional","affiliation":[{"name":"Heart and Vascular Theme, Karolinska University Hospital , Eugeniav\u00e4gen 3, 171 76, Solna, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1695-379X","authenticated-orcid":false,"given":"Tomas","family":"Jernberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet , Stockholm 182 88, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0524-9852","authenticated-orcid":false,"given":"Jarle","family":"Jortveit","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sorlandet Hospital , PO Box 783, Stoa, 4809 Arendal, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7561-7644","authenticated-orcid":false,"given":"Sigrun","family":"Halvorsen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Oslo University Hospital, Ullev\u00e5l Hospital , PB 4956, Nydalen, 0424 Oslo, Norway"},{"name":"Department of Cardiology, University of Oslo, OUS HF Rikshospitalet , PB 4950, Nydalen, 0424 Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D\u00e1vid","family":"Becker","sequence":"additional","affiliation":[{"name":"Semmelweis University Heart and 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