Use of evidence-based treatments improves STEMI outcomes

Over the last two decades several new treatments, both pharmacological and mechanical, have become available for the treatment of ST-elevation myocardial infarction (STEMI).  As a result, several rounds of national and international guidelines have been developed to guide the implementation of these evidence-based treatments in clinical practice.  However, relatively few data are available on how […]

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MONICA – evidence based medicine in the real world

Previous studies, such as the World Health Organisation MONICA (monitoring trends and determinants in cardiovascular disease) project, have demonstrated the rapid and progressive uptake of medical care that has been shown in randomised clinical trials to reduce cardiovascular mortality [Lancet 2000;355:688-700]. However, there are relatively few population based studies available that describe how this apparent […]

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