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Órgano Oficial del Hospital Angeles Health System

2009, Number 4

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Acta Med 2009; 7 (4)

Door-to-reperfusion time in ST-elevation acute coronary syndromes

Herrera CÁ, Mendoza SAB, Velázquez TD

Language: Spanish
References: 50
Page: 193-204
PDF size: 115.45 Kb.


ABSTRACT

Cardiovascular diseases are the first cause of mortality in developed countries. In the United States of America (EUA) approximately 838,000 patients were discharged in 2005 with the diagnosis of acute myocardial infarction (AMI). Up to 29-47% of these cases showed to have the coronary syndrome (SICA) with elevation of the ST segment (STEMI). Recently there has been a growing interest for the development of strategies to make more effective use of the established window of opportunity for angioplasty in these cases. This motivates us to present this review of 50 articles. Our research showed that a timely and prompt treatment increases the probability of survival for patients with STEMI. That is why having adequate infrastructure and trained hospital staff can influence the prognosis of these patients. This implies the necessity of developing and implementing protocols that minimize the interval between arrival and treatment of patients. Another way of optimizing care can be achieved by increasing the number of patients that are able to receive reperfusion therapy.


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