The BRIDGE-ACS study showed benefits of a quality improvement initiative in adherence to evidence-based therapy for acute coronary syndromes at public hospitals in Brazil. No mortality benefit was observed, but this finding might have been different if all effective therapies for in-hospital treatment of myocardial infarction were included.
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References
Berwanger, O. et al. Effect of a multifaceted intervention on use of evidence-based therapies in patients with acute coronary syndromes in Brazil: the BRIDGE-ACS randomized trial. JAMA http://dx.doi.org/10.1001/jama.2012.413.
Takada, J. Y. et al. Emergency service admission time and in-hospital mortality in acute coronary syndrome. Arq. Bras. Cardiol. 98, 104–110 (2012).
Souza, M. F., Alencar, A. P., Malta, D. C., Moura, L. & Mansur, A. P. Serial temporal analysis of ischemic heart disease and stroke death risk in 5 regions of Brazil from 1981 to 2001. Arq. Bras. Cardiol. 87, 672–677 (2006).
Mansur, A. P., Favarato, D., Avakian, S. D. & Ramires, J. A. Trends in ischemic heart disease and stroke death ratios in Brazilian women and men. Clinics (São Paulo) 65, 1143–1147 (2010).
Mansur, A. P. et al. Epidemiologic transition in mortality rate from circulatory diseases in Brazil. Arq. Bras. Cardiol. 93, 506–510 (2009).
Schmidt, M. I. et al. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet 377, 1949–1961 (2011).
Ford, E. S. et al. Explaining the decrease in U. S. deaths from coronary disease, 1980–2000. N. Engl. J. Med. 356, 2388–2398 (2007).
Nabel, E. G. & Braunwald, E. A tale of coronary artery disease and myocardial infarction. N. Engl. J. Med. 366, 54–63 (2012).
Lahoud, R., Howe, M., Krishnan, S. M., Zacharias, S. & Jackson, E. A. Effect of use of combination evidence-based medical therapy after acute coronary syndromes on long-term outcomes. Am. J. Cardiol. 109, 159–164 (2012).
Fornasini, M. et al. Contemporary trends in evidence-based treatment for acute myocardial infarction. Am. J. Med. 123, 166–172 (2010).
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Mansur, A., F. Ramires, J. A BRIDGE-ACS over troubled water. Nat Rev Cardiol 9, 382–383 (2012). https://doi.org/10.1038/nrcardio.2012.70
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DOI: https://doi.org/10.1038/nrcardio.2012.70