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Table 3 Variation of process measures according to the clinical settings in acute coronary syndrome and acute heart failure

From: Quality indicators for acute cardiovascular diseases: a scoping review

Clinical settings

Number of publications

Number of QIs

Examples of QI

Acute coronary syndrome

Upon admission

≥6

1

Aspirin at arrival

4–5

1

Assessment of cardiovascular risk factors

2–3

4

Assessment of 12 lead ECG, P2Y12 inhibitors before PCI.

1

7

Registration of start of symptoms, assessment of cardiovascular antecedents.

Acute setting

≥6

2

Time for primary PCI/Timely performed PCI, time for fibrinolytic therapy.

4–5

0

 

2–3

2

Early beta-blockers use, immediate angiography for cardiac arrest.

1

9

Peri-procedural admission of morphine or alike, radial access.

During hospitalization / at discharge

≥6

5

Aspirin at discharge, high-intensity statins prescription.

4–5

3

P2Y12 inhibitors at discharge, cardiac rehabilitation.

2–3

4

Hypertension control, risk stratification with noninvasive stress testing.

1

7

Mention about DAPT duration, provision of nutritional advice.

Acute heart failure

Acute setting

≥3

0

 

2

1

Chest radiograph or another diagnostic test

1

2

Medical history documentation, physical examination

During hospitalization / at discharge

≥3

4

Beta-blocker therapy for HFrEF, ACE inhibitor, ARB or ARNI therapy for HFrEF.

2

2

Daily assessment of blood chemistry levels, post-discharge appointment.

1

11

ARNI therapy for HFrEF, MRA therapy for HFrEF.

  1. QI quality indicator, ECG electrocardiogram, PCI percutaneous coronary intervention, DAPT dual antiplatelet therapy, HFrEF heart failure with reduced ejection fraction, ACE angiotensin-converting enzyme inhibitor, ARB angiotensin II receptor blocker, ARNI angiotensin receptor-neprilysin inhibitor, MRA mineralocorticoid receptor antagonist