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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\u003Cp id=\u0022p-1\u0022\u003EThe Stent For Life Initiative is working to improve treatment in patients with STEMI, including rates of primary percutaneous coronary intervention, and to identify regions or countries with an unmet medical need and poor patient access. It is also addressing gender difference in access to cardiovascular care and earlier diagnosis and treatment of acute coronary syndromes.\u003C\/p\u003E\u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ESTEMI\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Estent\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Eprimary percutaneous coronary intervention\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Estent for life initiative\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Eacute coronary syndrome\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003Ecardiology \u0026amp; cardiovascular medicine screening \u0026amp; prevention\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-1\u0022\u003E\u003Cp id=\u0022p-2\u0022\u003EPetr Kala, MD, PhD, Masaryk University and University Hospital Brno, Brno, Czech Republic, shared updates from the Stent for Life Initiative (SFLI; \u003Ca href=\u0022http:\/\/www.stentforlife.com\u0022\u003Ewww.stentforlife.com\u003C\/a\u003E), which aims to improve STEMI treatment in countries with lower rates of primary percutaneous coronary intervention (PPCI), thus reducing patient morbidity and mortality.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EAlthough PPCI is the recommended treatment for patients with STEMI, one study showed that only about 55% of European patients with STEMI were treated with PPCI and that treatment availability varies con siderably among countries [Widimsky P et al. \u003Cem\u003EEur Heart J.\u003C\/em\u003E 2009].\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EConsequently, the SFLI was launched in 2008 by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) as part of European Society of Cardiology and EuroPCR. Its objectives include identifying countries or regions with an unmet medical need in the optimal treatment of acute coronary syndrome (ACS) and improving patient access to PPCI. Overall, the program aims to increase the use of PPCI to \u0026gt; 70% among all patients with STEMI and offer around-the-clock service for PPCI procedures at all invasive facilities in the country.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EAccording to Prof Kala, access to PPCI has improved in countries involved in the SFLI since the program was implemented. From 2009 to 2013, for example, access to PPCI in Spain increased from 12.8% to 61.3% coverage [EAPCI, EuroPCR, ESC. \u003Cem\u003ESFLI Newsletter\u003C\/em\u003E, 10th ed. 2014]. Additionally, implementing a PPCI network in Romania in 2010 had a significant impact on STEMI in-hospital mortality [Tatu-Chi\u0163oiu G et al. \u003Cem\u003EEuroIntervention.\u003C\/em\u003E 2012]. The percentage of PPCI in the country increased from 25.0% in 2010 to 49.32% in 2011, and in-hospital mortality decreased from 13.5% to 9.93% from 2009 to 2011. Finally, in 2011, in-hospital mortality was lower in the percutaneous coronary intervention centers than in those without such facilities (7.28% vs 14.20%).\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003ESharing data from the 6 pilot countries enrolled in the SFLI in 2009, Prof Kala demonstrated considerable improvements in the management of patients with STEMI [EAPCI, EuroPCR, ESC. \u003Cem\u003ESFLI Newsletter\u003C\/em\u003E, 10th ed. 2014]. Between 2007 and 2011, the use of PPCI increased from 23% to 57% in Bulgaria, 33% to 64% in France, 9% to 32% in Greece, 19% to 44% in Serbia, 30% to 50% in Spain, and 8% to 78% in pilot regions of Turkey. This increased use of PPCI was accompanied by a simultaneous decrease in the percentage of patients who did not receive any reperfusion therapy (\u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E).\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/16\/8\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Trends in Management of Patients With STEMI From 2008 to 2011\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-696068720\u0022 data-figure-caption=\u0022Trends in Management of Patients With STEMI From 2008 to 2011\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/16\/8\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/16\/8\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/16\/8\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/16924\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption attrib\u0022\u003E\u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \u003Cp id=\u0022p-7\u0022 class=\u0022first-child\u0022\u003ETrends in Management of Patients With STEMI From 2008 to 2011\u003C\/p\u003E\u003Cq class=\u0022attrib\u0022 id=\u0022attrib-1\u0022\u003EPPCI, primary percutaneous coronary intervention.\u003C\/q\u003E\u003Cq class=\u0022attrib\u0022 id=\u0022attrib-2\u0022\u003ESource: Widimsky P et al. \u003Cem\u003EEur Heart J\u003C\/em\u003E. 2010. Reproduced with permission from P Kala MD, PhD.\u003C\/q\u003E\u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cp id=\u0022p-8\u0022\u003ENevertheless, Prof Kala emphasized that variation in the use of PPCI still persists among countries in Europe. However, he added that the initiative has expanded to address some specific factors, including sex disparities in patients\u0027 access to cardiovascular care and the early diagnosis and treatment of ACS, to increase female patients\u0027 access to reperfusion therapy. Cross-border issues are also being evaluated, he noted, because reimbursement of treatment and transport costs is a significant barrier to cross-border collaboration in the treatment of patients with STEMI.\u003C\/p\u003E\u003Cp id=\u0022p-9\u0022\u003EThe SFLI has launched a campaign called \u201cACT NOW. SAVE A LIFE,\u201d which aims to improve the public\u0027s awareness of heart attack symptoms, urging people to act quickly and call emergency medical services to allow them to receive lifesaving PPCI treatment. However, despite its name, the SFLI is not solely focused on stent use; it is about reperfusion and improving patient care in general, Prof Kala concluded.\u003C\/p\u003E\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2015 SAGE Publications\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/14\/16\/8.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzljw1\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzljw1\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}