br> "The U.S. especially has a lot of ground to gain, compared with European and Canadian hospitals, in reducing the time lag between hospital presentation and acute coronary artery angioplasty," Eagle adds. "That's why efforts to improve hospitals' systems for providing this kind of care are so important."

U-M heart specialists lead or co-lead several key efforts to increase the use of evidence-based STEMI and ACS care in the state of Michigan. Eagle, for instance, has co-led the Guidelines Applied in Practice – Myocardial Infarction project sponsored by the American College of Cardiology, which has improved heart attack care at dozens of Michigan hospitals and provided a model for hospitals nationwide. He recently received the Raymond Bahr award from the American Society for Chest Pain Centers in recognition of his leadership role in such projects.

At the same time, U-M CVC director of interventional cardiology Mauro Moscucci, M.D., has co-led the Blue Cross Blue Shield of Michigan Cardiovascular Consortium, which has focused on improving angioplasty care and has saved both lives and dollars. U-M heart failure specialist Todd Koelling, M.D., is leading a Michigan-wide effort to improve heart failure care. And U-M is heavily involved in the national D2B Alliance, which seeks to accelerate the use of emergency angioplasty by helping hospitals be ready to deliver the life-saving treatment as quickly as possible after a patient arrives.

So, as hospitals work to improve their heart care even more, the new study's authors hope that additional gains in patients' outcomes can be made. They are continuing to collect data on hospitalized STEMI and ACS patients in 30 countries around the world, and to contact patients at home after their initial hospitalization to get follow-up information. GRACE now includes 236 hospitals in North America, South America, Europe, Asia, Australia and New Zealand.

Meanwhile, Eagle says, pat
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