GWTG Scientific Publication Update

Updated:May 5,2011

Editorial: Get With The Guidelines — Using Our Data To Identify Disparities And Improve Outcomes by Eric Edward Smith, MD, MPH, FRCPC, FAHA

Quality of Care for ACS Patients


  • First systematic analysis of performance measures in atherosclerotic disease.
  • Patients with acute coronary syndrome (ACS) and polyvascular atherosclerosis have a higher risk of mortality.
  • Evidenced-base improvements in the care of CAD patients are warranted.

Supporting Materials


Influence of Age on the Management of HF


  • Significant numbers of adults over 65 years of age are hospitalized due to heart failure.
  • Critical reductions in the use of evidence-based therapy among ACS and HF patients as they get older have been demonstrated.
  • Data collected from GWTG-HF participating hospitals demonstrates that HF patients over 85 years of age receive major evidence based treatments (ACEI/β Blockers).

Supporting Materials


Dissociation Between Door to Balloon Time and Improvements in Other AMI Care Processes and Patient Outcomes


  • Door to Balloon (DTB) of no more than 90 minutes is a quality of care indicator for patients suffering from acute myocardial infarction (AMI).
  • Since percutaneous coronary intervention (PCI) is the preferred reperfusion strategy for patients with STEMI, delays in primary PCI are associated with worse short and long term outcomes.
  • Although Recent initiatives have focused on reducing door-to-balloon (DTB) times among patients with AMI undergoing PCI, DTB time is only one of several important AMI care processes.

Supporting Materials



Other Readings
Horwich T, Hernandez A, Liang L, Albert N, LaBresh K, Yancy C, Fonarow G. Weekend Hospital Admission and Discharge for Heart Failure: Association with Quality of Care and Clinical Outcomes. Am Heart J 2009; 158:451-8.

Brown T, Hernandez A, Bittner V, Cannon C, Ellrodt G, Liang L, Peterson E, Piña I, Safford M, Fonarow G. Predictors of Cardiac Rehabilitation Referral in Coronary Artery Disease Patients: Result's from the AHA's Get With the Guidelines Program. J. Am. Coll. Cardiol. 2009;54;515-52.

Bushnell C, Zimmer L, Schwamm L, Goldstein L, Clapp-Channing N, Harding T, Drew L, Zhao X, Peterson E. The Adherence eValuation After Ischemic Stroke Longitudinal (AVAIL) Registry: Design, rationale, and baseline patient characteristics. Am Heart J 2009;157:428-435.e2




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