The e-MUST registry has continuously and comprehensively documented ST-segment elevation myocardial infarctions (STEMIs) managed in the prehospital setting by the 39 Mobile Emergency and Resuscitation Services (SMUR) of the 8 Emergency Medical Assistance System (SAMU) and subsequently managed in the 36 interventional cardiology services in Île-de-France since 2000. This encompasses a population of over 12 million residents. To date, nearly 44,000 patients have been enrolled. The analysis of these findings reflects the real-world management of these patients and the evolution of their care. The results are shared annually with the investigators' teams and have led to around twenty publications. The latest acquired results have demonstrated, in a series of over 630 patients aged over 90, that nonagenarians particularly benefit from prehospital coronary reperfusion decisions, resulting in a nearly 60% reduction in mortality.
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Evolution of REperfusion Strategies and impact on mortality in Old and Very OLD STEMI patients. The RESOVOLD-e-MUST study.
Age Ageing
January 2024
SAMU 78, Versailles Hospital, Le Chesnay, France.
Background: The use of myocardial reperfusion-mainly via angioplasty-has increased in our region to over 95%. We wondered whether old and very old patients have benefited from this development.
Methods: Setting: Greater Paris Area (Ile-de-France).
[e-MUST Registry - Evaluation of prehospital medical management of STEMI in Île-de-France].
Ann Cardiol Angeiol (Paris)
December 2023
SAMU 78, Centre Hospitalier de Versailles, Le Chesnay, France.
The e-MUST registry has continuously and comprehensively documented ST-segment elevation myocardial infarctions (STEMIs) managed in the prehospital setting by the 39 Mobile Emergency and Resuscitation Services (SMUR) of the 8 Emergency Medical Assistance System (SAMU) and subsequently managed in the 36 interventional cardiology services in Île-de-France since 2000. This encompasses a population of over 12 million residents. To date, nearly 44,000 patients have been enrolled.
View Article and Find Full Text PDFDecision to deploy coronary reperfusion is not affected by the volume of ST-segment elevation myocardial infarction patients managed by prehospital emergency medical teams.
Eur J Emerg Med
December 2019
SAMU 78, Versailles Hospital, Le Chesnay, France.
Objective: Mortality in patients with ST-segment elevation myocardial infarction (STEMI) has been associated with the volume of activity of percutaneous coronary intervention (PCI) facilities. This observational study investigated whether the coronary reperfusion-decision rate is associated with the volume of activity in a prehospital emergency setting.
Methods: Prospectively collected data for the period 2003-2013 were extracted from a regional registry of all STEMI patients handled by eight dispatch centers (SAMUs) in and around Paris [41 mobile ICU (MICUs)].
Longer pre-hospital delays and higher mortality in women with STEMI: the e-MUST Registry.
EuroIntervention
August 2016
Cardiology Department, European Hospital of Paris - La Roseraie, ICV-GVM, Aubervilliers, France.
Aims: The mortality rate in patients with STEMI is higher in women than in men. This higher mortality rate is partly accounted for by certain known characteristics inherent in the female population (age, diabetes). Using data from the e-MUST registry on STEMI patients in the Greater Paris area, we assessed the differences between men and women treated with reperfusion strategies.
View Article and Find Full Text PDFOutcomes of primary percutaneous coronary interventions in nonagenarians with acute myocardial infarction.
Int J Cardiol
August 2015
Regional Health Agency of the Greater Paris Area, Registry Department, Paris, France.
Background: Few data are available on primary percutaneous coronary intervention (pPCI) in nonagenarians. In a large prospective registry on pPCI for STEMI we compared the demographics, procedural and in-hospital outcomes between nonagenarians (age ≥ 90 years) and patients aged < 90 years.
Methods And Results: We included 26,157 consecutive patients with pPCI in the Greater Paris Area region between 2003 and 2011.
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