Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries

Kristensen, Steen Dalby; Laut, Kristina Grønborg; Fajadet, Jean; Kaifoszova, Zuzana; Kala, Petr; Mario, Carlo Di; Wijns, William; Clemmensen, Peter; Agladze, Vaja; Antoniades, Loizos; AlHabib, Khalid F.; Boer, Menko‐Jan de; Claeys, Marc J.; Deleanu, Dan; Dudek, Dariusz; Ērglis, Andrejs; Gilard, Martine; Göktekín, Ömer; Guagliumi, Giulio; Guðnason, Þórarinn; Hansen, Kim Wadt; Huber, Kurt; James, Stefan; Janota, Tomáš; Jennings, Siobhán; Kajander, Olli A.; Kanakakis, John; Karamfiloff, Kiril; Kedev, Saško; Kornowski, Ran; Ludman, Peter; Merkely, Béla; Miličić, Davor; Najafov, Ruslan; Nicolini, Fabio; Noč, Marko; Ostojić, Miodrag; Pereira, Hélder; Radovanović, Dragana; Sabaté, Manel; Sobhy, Mohamed; Sokolov, М. Yu.; Studenčan, Martin; Terzić, Ibrahim; Wahler, S; Widimský, Petr

doi:10.1093/eurheartj/eht529

Cited by 286 publications

(201 citation statements)

References 46 publications

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“…The mismatch between need and availability of PCI-capable facilities remains a concern (7) but success stories relating to government involvement in other countries are encouraging. (7,13,14) Perceived South African healthcare challenges (personal observations) that need to be considered relate to: lessons learnt from other countries are encouraging (7) and much may be learnt from their experiences in treating patients coming from remote areas. …”

Section: Additional Considerationsmentioning

confidence: 99%

Referral pathways for reperfusion of STEMI – developing strategies for appropriate intervention

Snyders

Delport

2017

SAHJ

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undergo PCI within 90 minutes of FMC, should be treated with fibrinolytic therapy within 30 minutes of hospital presentation, unless such therapy is contraindicated.A recent study in STEMI patients found that while p-PCI was performed in 60%, the majority of the interventions occurred later than 120 minutes, and that only 36% received fibrinolysis.(2) This high percentage of patients receiving angiographyand an invasive treatment strategy may be explained by the location of the participating centers in urban areas, almost all of which were private healthcare facilities.Early and appropriate pre-hospital diagnosis, as well as immediate transport, are of vital importance to avoid unnec- ABSTRACT

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Section: Additional Considerationsmentioning

confidence: 99%

Referral pathways for reperfusion of STEMI – developing strategies for appropriate intervention

Snyders

Delport

2017

SAHJ

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“…(7) Nevertheless, depending on the configuration of the care network for myocardial infarction, with particularities according to the countries and regions, various time fractions can make up the period between the onset of the symptoms and the admission to a referral hospital in cardiology. Differently from other countries, where the user is admitted directly to specialized services, (8) in the public health network of Salvador, Bahia, Brazil, the admission to referral hospitals in cardiology, with access to hemodynamics and intensive care services, does not take place directly, as these services have no "open door" emergency service, but the access is mediated by regulation centrals. Hence, people with symptoms of a myocardial infarction have to be assessed at least at one health service for further regulation to these hospitals.…”

Section: Introductionmentioning

confidence: 99%

Tempos de acesso a serviços de saúde face ao infarto do miocárdio

et al. 2016

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Objective: To analyze the access times of men and women who are having a myocardial infarction to referral hospitals in cardiology and the correlation between them. Methods: Cross-sectional research, involving 100 victims of a myocardial infarction who were interviewed at referral hospitals in cardiology. To analyze the data, descriptive and inferential statistics were used with statistical significance. Results: The access times were long (decision to seek care, arrival to first health service, time in care network and admission to referral hospitals in cardiology), except for the transportation time, mainly for women. The decision time contributed more to the time it took to arrive at the first health service and the time in the care network contributed more to the time to arrive at the referral hospitals in cardiology. Conclusion: The long time waiting for specialized care reflects the lack of structure of the health services and the long decision time reflects the participants' lack of recognition of the myocardial infarction. ResumoObjetivo: Analisar os tempos relacionados ao acesso de homens e mulheres com infarto do miocárdio a hospitais referência em cardiologia e a correlação entre eles. Métodos: Pesquisa transversal, com 100 pessoas com infarto entrevistadas em hospitais referência em cardiologia. Dados analisados por estatística descritiva e inferencial, adotando-se significância estatística. Resultados: Os tempos foram elevados (decisão para atendimento, chegada ao primeiro serviço de saúde, permanência na rede de atenção e admissão em hospitais referência em cardiologia), exceto o de transporte, sobretudo para mulheres. Houve maior contribuição do tempo de decisão na composição do tempo de chegada ao primeiro serviço de saúde e do tempo de permanência na rede na composição do tempo de chegada aos hospitais referência em cardiologia. Conclusão: A longa espera por atenção especializada reflete a falta de estrutura dos serviços de saúde, e o tempo de decisão elevado reflete a falta do não reconhecimento do infarto pelos participantes. KeywordsHealth services accessibility; Public health nursing; Education, nursing; Myocardial infarction Descritores Acesso aos serviços de saúde; Enfermagem em saúde pública; Educação em enfermagem; Infarto do miocárdio

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“…The national percutaneous coronary intervention (PCI) database (ORPKI) identifies as many as 155 such centres in 2015, which makes it well in line with the European Society of Cardiology (ESC) recommendations of at least one catheterisation laboratory per 300,000-1,000,000 inhabitants [1,2]. The well-planned development and organisation of invasive cardiology in the last two decades has brought Poland to the third place in Europe in terms of number of primary PCI in ST elevation myocardial infarction (STEMI) per million inhabitants per year and has led to the fulfilment of all criteria required by the "Stent for Life" initiative [3]. The quality of percutaneous treatment of patients in Poland has improved and grown in numbers, and has followed international trends in the adoption of modern PCI techniques and utilisation of novel devices and medications [4].…”

mentioning

confidence: 99%

New model of secondary cardiovascular prevention for patients after acute coronary syndromes in Poland with regard to Norwegian experiences

Dudek

Siudak²,

Solheim

2016

Kardiol Pol

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Reperfusion therapy for ST elevation acute myocardial infarction 2010/2011: current status in 37 ESC countries

Cited by 286 publications

References 46 publications

Referral pathways for reperfusion of STEMI – developing strategies for appropriate intervention

Referral pathways for reperfusion of STEMI – developing strategies for appropriate intervention

Tempos de acesso a serviços de saúde face ao infarto do miocárdio

New model of secondary cardiovascular prevention for patients after acute coronary syndromes in Poland with regard to Norwegian experiences

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