Donate Help Contact The AHA Sign In Home
American Heart Association
Circulation
Search: search_blue_button Advanced Search
Circulation. 2006;113:732-761
Published online before print January 3, 2006, doi: 10.1161/CIRCULATIONAHA.106.172860
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Correction (v113,pe767)
Right arrow All Versions of this Article:
113/5/732    most recent
CIRCULATIONAHA.106.172860v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Krumholz, H. M.
Right arrow Articles by Spertus, J. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Krumholz, H. M.
Right arrow Articles by Spertus, J. A.
Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Heart Attack
Related Collections
Right arrow AHA Statements and Guidelines

(Circulation. 2006;113:732-761.)
© 2006 American Heart Association, Inc.


ACC/AHA Performance Measures

ACC/AHA Clinical Performance Measures for Adults With ST-Elevation and Non–ST-Elevation Myocardial Infarction

A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Performance Measures on ST-Elevation and Non–ST-Elevation Myocardial Infarction)

WRITING COMMITTEE: Harlan M. Krumholz, MD, FACC, FAHA, Chair; Jeffrey L. Anderson, MD, FACC, FAHA; Neil H. Brooks, MD, FAAFP; Francis M. Fesmire, MD, FACEP; Costas T. Lambrew, MD, MACC; Mary Beth Landrum, PhD; W. Douglas Weaver, MD, FACC, FAHA; John Whyte, MD, MPH

TASK FORCE MEMBERS: Robert O. Bonow, MD, FACC, FAHA, Chair; Susan J. Bennett, DNSC, RN, FAAN, FAHA; Gregory Burke, MD, MS, FAHA; Kim A. Eagle, MD, FACC, FAHA, Chair*; Harlan M. Krumholz, MD, FACC, FAHA{dagger}; Costas T. Lambrew, MD, MACC{dagger}; Jane Linderbaum, NP; Frederick A. Masoudi, MD, FACC, FAHA; Sharon-Lise T. Normand, PhD, MSC, FACC{dagger}; Ileana L. Piña, MD, FACC; Martha J. Radford, MD, FACC, FAHA; John S. Rumsfeld, MD, PhD, FACC; James L. Ritchie, MD, FACC{dagger}; John A. Spertus, MD, MPH, FACC{dagger}


An extract of the first 250 words of the full text is provided, because this article has no abstract.
 


*    TABLE OF CONTENTS
 

Preamble 733
I. Introduction 735
   A. Scope of the Problem 735
   B. Writing Committee Structure/Members 735
   C. Independence/Relationships With Industry Disclosure 735
   D. Review/Endorsement 735

II. Methodology 735
   A. Definition of STEMI/NSTEMI 735
   B. Dimensions of Care 736
   C. Literature Review 736
   D. Definition and Selection of Measures 736

III. STEMI/NSTEMI Performance Measures 737
   A. Inpatient Population and Care Period 737
   B. Brief Summary of the Measurement Set 737
   C. Data Collection 738

IV. Discussion 738
   A. Addition of ARBs to ACEI Measure 738
   B. Median Versus Mean—Time to Fibrinolytic Therapy and Time to Primary PCI Measures 739
   C. New Standard for Time to Primary PCI Measure 739
   D. New Reperfusion Therapy Measure 739

Appendix A: ACC/AHA STEMI/NSTEMI Measurement Set Specifications 740
Appendix B: Sample Rating Form and Guide 754
Appendix C: Relationships With Industry—Writing Committee 756
Appendix D: Relationships With Industry—Peer Reviewers 757
References 760


*    PREAMBLE
 
Medicine is experiencing an unprecedented focus on quantifying and improving health care quality. The American College of Cardiology (ACC) and the American Heart Association (AHA) have developed a multi-faceted strategy to facilitate the process of improving clinical care. The initial phase of this effort was to create clinical practice guidelines that carefully review and synthesize available evidence to better guide patient care. Such guidelines are written in a spirit of suggesting diagnostic or therapeutic interventions for patients in most circumstances. Accordingly, significant judgment by clinicians is required to adapt these guidelines to the care of individual patients, and these guidelines can be generated with . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
CirculationHome page
H. Jneid, G. C. Fonarow, C. P. Cannon, A. F. Hernandez, I. F. Palacios, A. O. Maree, Q. Wells, B. Bozkurt, K. A. LaBresh, L. Liang, et al.
Sex Differences in Medical Care and Early Death After Acute Myocardial Infarction
Circulation, December 16, 2008; 118(25): 2803 - 2810.
[Abstract] [Full Text] [PDF]


Home page
CMAJHome page
J. V. Tu MD PhD, L. Khalid MD, L. R. Donovan BScN MBA, D. T. Ko MD MSc, and for the Canadian Cardiovascular Outcomes Research
Indicators of quality of care for patients with acute myocardial infarction
Can. Med. Assoc. J., October 21, 2008; 179(9): 909 - 915.
[Abstract] [Full Text] [PDF]


Home page
Arch Intern MedHome page
R. E. Foraker, K. M. Rose, A. P. McGinn, C. M. Suchindran, D. C. Goff Jr, E. A. Whitsel, J. L. Wood, and W. D. Rosamond
Neighborhood Income, Health Insurance, and Prehospital Delay for Myocardial Infarction: The Atherosclerosis Risk in Communities Study
Arch Intern Med, September 22, 2008; 168(17): 1874 - 1879.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
D. W. Jones, E. D. Peterson, R. O. Bonow, F. A. Masoudi, G. C. Fonarow, S. C. Smith Jr, P. Solis, M. Girgus, P. C. Hinton, A. Leonard, et al.
Translating Research Into Practice for Healthcare Providers: The American Heart Association's Strategy for Building Healthier Lives, Free of Cardiovascular Diseases and Stroke
Circulation, August 5, 2008; 118(6): 687 - 696.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
R. J. Kim, T. S.E. Albert, J. H. Wible, M. D. Elliott, J. C. Allen, J. C. Lee, M. Parker, A. Napoli, R. M. Judd, and for the Gadoversetamide Myocardial Infarction Imag
Performance of Delayed-Enhancement Magnetic Resonance Imaging With Gadoversetamide Contrast for the Detection and Assessment of Myocardial Infarction: An International, Multicenter, Double-Blinded, Randomized Trial
Circulation, February 5, 2008; 117(5): 629 - 637.
[Abstract] [Full Text] [PDF]


Home page
NEJMHome page
F. A. Masoudi
Statins for Ischemic Systolic Heart Failure
N. Engl. J. Med., November 29, 2007; 357(22): 2301 - 2304.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
B. K. Nallamothu, Y. Wang, E. H. Bradley, K. K.L. Ho, J. P. Curtis, J. S. Rumsfeld, F. A. Masoudi, and H. M. Krumholz
Comparing Hospital Performance in Door-to-Balloon Time Between the Hospital Quality Alliance and the National Cardiovascular Data Registry
J. Am. Coll. Cardiol., October 9, 2007; 50(15): 1517 - 1519.
[Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
R. J. Westrick, M. E. Winn, and D. T. Eitzman
Murine Models of Vascular Thrombosis
Arterioscler Thromb Vasc Biol, October 1, 2007; 27(10): 2079 - 2093.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
V. N. Dhruva, S. I. Abdelhadi, A. Anis, W. Gluckman, D. Hom, W. Dougan, E. Kaluski, B. Haider, and M. Klapholz
ST-Segment Analysis Using Wireless Technology in Acute Myocardial Infarction (STAT-MI) Trial
J. Am. Coll. Cardiol., August 7, 2007; 50(6): 509 - 513.
[Abstract] [Full Text] [PDF]


Home page
J Am Coll CardiolHome page
S. R. Dixon, C. L. Grines, and W. W. O'Neill
The Year in Interventional Cardiology
J. Am. Coll. Cardiol., July 17, 2007; 50(3): 270 - 285.
[Full Text] [PDF]


Home page
CirculationHome page
E. D. Peterson, E. M. Ohman, R. G. Brindis, D. J. Cohen, and D. J. Magid
Development of Systems of Care for ST-Elevation Myocardial Infarction Patients: Evaluation and Outcomes
Circulation, July 10, 2007; 116(2): e64 - e67.
[Full Text] [PDF]


Home page
Health Aff (Millwood)Home page
H. M. Krumholz, S.-L. T. Normand, J. A. Spertus, D. M. Shahian, and E. H. Bradley
Measuring Performance For Treating Heart Attacks And Heart Failure: The Case For Outcomes Measurement
Health Aff., January 1, 2007; 26(1): 75 - 85.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Renal Physiol.Home page
H. Zheng, Y.-F. Li, I. H. Zucker, and K. P. Patel
Exercise training improves renal excretory responses to acute volume expansion in rats with heart failure
Am J Physiol Renal Physiol, December 1, 2006; 291(6): F1148 - F1156.
[Abstract] [Full Text] [PDF]


Home page
NEJMHome page
M. Moscucci and K. A. Eagle
Reducing the Door-to-Balloon Time for Myocardial Infarction with ST-Segment Elevation
N. Engl. J. Med., November 30, 2006; 355(22): 2364 - 2365.
[Full Text] [PDF]


Home page
CirculationHome page
D. S. Pinto, A. J. Kirtane, B. K. Nallamothu, S. A. Murphy, D. J. Cohen, R. J. Laham, D. E. Cutlip, E. R. Bates, P. D. Frederick, D. P. Miller, et al.
Hospital Delays in Reperfusion for ST-Elevation Myocardial Infarction: Implications When Selecting a Reperfusion Strategy
Circulation, November 7, 2006; 114(19): 2019 - 2025.
[Abstract] [Full Text] [PDF]


Home page
Arterioscler. Thromb. Vasc. Bio.Home page
N. Fiotti, N. Altamura, M. Fisicaro, N. Carraro, L. Uxa, G. Grassi, L. Torelli, R. Gobbato, G. Guarnieri, B. T. Baxter, et al.
MMP-9 Microsatellite Polymorphism and Susceptibility to Carotid Arteries Atherosclerosis
Arterioscler Thromb Vasc Biol, June 1, 2006; 26(6): 1330 - 1336.
[Abstract] [Full Text] [PDF]


Home page
CirculationHome page
P. S. Douglas, R. H. Eckel, D. T. Gray, J. M. Loeb, and B. M. Straube
Coming Together to Achieve Quality Cardiovascular Care
Circulation, February 7, 2006; 113(5): 607 - 608.
[Full Text] [PDF]