{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:32:39Z","timestamp":1772253159238,"version":"3.50.1"},"reference-count":19,"publisher":"Sociedade Brasileira de Cardiologia","issue":"11","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>RESUMO  Fundamento: H\u00e1 car\u00eancia de informa\u00e7\u00f5es nacionais em rela\u00e7\u00e3o a terapias utilizadas e evolu\u00e7\u00e3o nos pacientes com s\u00edndrome coron\u00e1ria aguda com eleva\u00e7\u00e3o de ST (SCACEST).  Objetivos: Avaliar as terapias baseadas em evid\u00eancia, a ocorr\u00eancia de desfechos, uso de reperfus\u00e3o e preditores para n\u00e3o receber reperfus\u00e3o nos pacientes com SCACEST em um registro nacional multic\u00eantrico.  M\u00e9todos: Pacientes com SCACEST do Registro ACCEPT com at\u00e9 12 horas de sintomas foram seguidos por 1 ano para ocorr\u00eancia de eventos cardiovasculares maiores. Um p &lt; 0,05 foi aplicado para todas an\u00e1lises.  Resultados: Na an\u00e1lise de 1.553 pacientes, a taxa de reperfus\u00e3o foi de 76,8%, variando de 47,5% na regi\u00e3o Norte a at\u00e9 80,5% na regi\u00e3o Sudeste. A taxa de eventos cardiovasculares maiores foi de 12,5% em 1 ano. A prescri\u00e7\u00e3o de terapias baseadas em evid\u00eancia na admiss\u00e3o hospitalar foi de 65,6%. A presen\u00e7a de hipertens\u00e3o (odds ratio [OR] 1,47; intervalo de confian\u00e7a [IC] 95% 1,11 a 1,96; p &lt; 0,01), infarto agudo do mioc\u00e1rdio pr\u00e9vio (OR 1,81; IC 95% 1,32 a 2,48; p &lt; 0,001) e as regi\u00f5es Norte (OR 4,65; IC 95% 2,87 a 7,52; p &lt; 0,001), Centro-Oeste (OR 4,02 IC 95% 1,26 a 12,7; p &lt; 0,05) e Nordeste (OR 1,70; IC 95% 1,17 a 2,46; p &lt; 0,01) foram preditores independentes de n\u00e3o utiliza\u00e7\u00e3o de terapia de reperfus\u00e3o.  Conclus\u00f5es: No seguimento de 1 ano do Registro ACCEPT podemos verificar uma ampla varia\u00e7\u00e3o dentre as regi\u00f5es no que tange a ader\u00eancia \u00e0s melhores pr\u00e1ticas de cuidado. Ser atendido nas regi\u00f5es Norte, Centro-Oeste ou Nordeste, ter hipertens\u00e3o arterial sist\u00eamica ou infarto pr\u00e9vio foram preditores independentes de n\u00e3o utiliza\u00e7\u00e3o de terapia de reperfus\u00e3o.<\/jats:p>","DOI":"10.36660\/abc.20230863","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T10:16:58Z","timestamp":1734430618000},"source":"Crossref","is-referenced-by-count":1,"title":["Infarto Agudo do Mioc\u00e1rdio com Supradesn\u00edvel de ST e Terapia de Reperfus\u00e3o no Brasil: Dados do Registro ACCEPT"],"prefix":"10.36660","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9320-7999","authenticated-orcid":false,"given":"Luiz Eduardo Fonteles","family":"Ritt","sequence":"first","affiliation":[{"name":"Instituto D\u2019Or de Ensino e Pesquisa,  Brasil; Hospital C\u00e1rdio Pulmonar,  Brasil; Escola Bahiana de Medicina e Sa\u00fade P\u00fablica,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1940-4470","authenticated-orcid":false,"given":"Pedro Gabriel Melo de Barros e","family":"Silva","sequence":"additional","affiliation":[{"name":"Hospital do Cora\u00e7\u00e3o,  Brasil; 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Sociedade Brasileira de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabete Silva","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4158-9726","authenticated-orcid":false,"given":"Antonio Carlos Sobral","family":"Souza","sequence":"additional","affiliation":[{"name":"Instituto D\u2019Or de Ensino e Pesquisa,  Brasil; Hospital S\u00e3o Lucas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret Assad","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Universidade do Oeste Paulista,  Brasil; Hospital Regional de Presidente Prudente,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3511-7375","authenticated-orcid":false,"given":"Pedro Beraldo","family":"de Andrade","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina de Mar\u00edlia,  Brasil; 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