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Seeking actual benchmarks in acute coronary syndromes for European countries: insights from the EURHOBOP registry
  1. Henrique B Ribeiro1,
  2. Pedro A Lemos2
  1. 1Department of Medicine, Quebec Heart & Lung Institute, Laval University, Quebec City, Quebec, Canada
  2. 2Department of Interventional Cardiology, Heart Institute (InCor), University of São Paulo Medical School, Sao Paulo, Brazil
  1. Correspondence to Dr Pedro A Lemos, Department of Interventional Cardiology, Heart Institute (InCor), University of São Paulo Medical School, Dr. Eneas Carvalho de Aguiar, 44. Bloco I, 3 andar, Hemodinâmica, São Paulo-SP 05403-000 Brazil; pedro.lemos{at}

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Cardiovascular diseases are the leading cause of morbidity and mortality worldwide, frequently elicited by acute coronary syndromes (ACS). Over the past decades, numerous large-scale randomised clinical trials have demonstrated the benefits of several interventions for the care of patients with ACS, including antiplatelet therapy, anticoagulation, and urgent or emergent cardiac catheterisation followed by revascularisation as appropriate. As a result, an increasing array of evidence-based cardiac medications and interventions have been rapidly adopted worldwide, fostered by multiple practice guidelines providing clear recommendations for clinicians.1 ,2

Recent evidences suggest that these remarkable advancements were associated with a significant decline in mortality from cardiovascular diseases in the recent years, more pronounced in high-income regions (especially Australasia, Western Europe and North America).3 Nonetheless, there are still marked disparities, with respect to the epidemiology, diagnostics and treatment of such patients with ACS, also leading to various morbidity and mortality rates throughout the globe. In this regard, a large number of prospective registries worldwide have been conducted over the last years in the context of ACS, aiming to provide standardised regional data to physicians, institutions and policy makers. The EURHOBOP registry (EURopean HOspital Benchmarking by Outcomes in acute coronary syndrome Processes) …

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