Significant decrease in in-hospital mortality and major adverse cardiac events in Swiss STEMI patients between 2000 and December 2007.

To evaluate the in-hospital outcome of STEMI (ST elevation myocardial infarction) patients admitted to Swiss hospitals between 2000 and December 2007, and to identify the predictors of in-hospital mortality and major cardiac events. Data from the Swiss national registry AMIS Plus (Acute Myocardial Infarction and Unstable Angina in Switzerland) were used. All patients admitted between January 2000 and December 2007 with STEMI or a new LBBB (left bundle branch block) were included in the registry. We studied 12 026 STEMI patients admitted to 68 hospitals. The mean age was 64 +/- 13 years and 73% of the patients were male. Incidence of in-hospital death was 7.6% in 2000 and 6% in 2007. Reinfarction fell from 3.7% in 2000 to 0.9% in 2007. Thrombolysis decreased from 40.2% in 2000 to 2% in 2007. Clinical predictors of mortality were: age >65 years, Killips class III or IV, diabetes, Q wave myocardial infarction (at presentation). Patients undergoing percutaneous coronary intervention (PCI) had lower mortality and reinfarction rates (3.9% versus 11.2% and 1.1% versus 3.1% respectively, p <0.001) over time, although their numbers increased from 43% in 2000 to 85% in 2007. Patients admitted to hospitals with PCI facilities had lower mortality than patients hospitalised in hospitals without it, but the demographic characteristics differ widely between the two groups. Both in-hospital mortality and reinfarction decreased significantly over the time, parallel to an increased number of PCI. PCI was also the strongest predictor of survival. In-hospital mortality and reinfarction rate have decreased significantly in Swiss STEMI patients in the last seven years, parallel to a significant increase in the number of percutaneous coronary interventions in addition to medical therapy. Outcome is not related to the site of admission but to PCI access.

Hindenburg, Ludendorff et son Etat-major devant la villa Imhoff [reproduction réduite d'une photographie prise vers 1917] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 58714

[Portrait du] Major General [Charles Vere Ferrers] Townshend : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59158

Mustafa Kemal et son État-major : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59897

Mustafa Kemal et son État-major : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59898

Major general John Lejeune : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 59974

Journal historique des opérations militaires du siège de Peschiera et de l'attaque des retranchemens de Sermione commandée par le général de division Chasseloup Laubat inspecteur général commandant en chef du génie à l'Armée d'Italie , accompagné de cartes et de plans, et suivi d'une note sur la maison de campagne de Catulle située à l'extrêmité de la presqu'île de Sermione. Par le chef d'escadron F. Hénin, adjoint, chef de l'état major des troupes du siège de Peschiera

Comprend : Plan du siège de Peschiera au mois de Nivose an IX / Gravé par Stagnon ; Plan de la presqu'île & de l'attaque des retranchemens de Sermione en Nivose An IX ; Plan de la maison de campagne de Catulle située à l'extrémité de la presqu'île de Sermione / Gravé par Stagnon, à Turin

1.° M. T. Ciceronis liber de amicitia : initium desideratur. — 2.° Ejusdem Cato major, sive liber de senectute. — 3.° Aristotelis oeconomicorum libri duo : interprete Leonardo Aretino ; singulis libris subjectus Aretini commentarius.

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