ST-segment elevation myocardial infarction: Recommendations on triage of patients to heart attack Centers - Is it time for a national policy for the treatment of ST-segment elevation myocardial infarction?

被引:69
作者
Henry, TD
Atkins, JM
Cunningham, MS
Francis, GS
Groh, WJ
Hong, RA
Kern, KB
Larson, DM
Ohman, EM
Ornato, JP
Peberdy, MA
Rosenberg, MJ
Weaver, D
机构
[1] Abbott NW Hosp, Minneapolis Heart Inst Fdn, Minneapolis, MN 55407 USA
[2] Univ Texas, SW Med Ctr, Dallas, TX USA
[3] Southpoint Cardiol, Jacksonville, FL USA
[4] Cleveland Clin Fdn, Cleveland, OH 44195 USA
[5] Krannert Cardiovasc Res Inst, Indianapolis, IN USA
[6] Univ Hawaii, John A Burns Sch Med, Honolulu, HI 96822 USA
[7] Univ Arizona, Med Ctr, Tucson, AZ 85721 USA
[8] Ridgeview Med Ctr, Waconia, MN USA
[9] Duke Univ, Durham, NC 27706 USA
[10] Virginia Commonwealth Univ, Hlth Syst, Richmond, VA 23284 USA
[11] Advocate Lutheran Gen Hosp, Park Ridge, IL USA
[12] Henry Ford Heart & Vasc Inst, Detroit, MI USA
关键词
D O I
10.1016/j.jacc.2005.05.101
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Despite substantial progress in the diagnosis and treatment of acute ST-segment elevation myocardial infarction (STEMI), implementation of this knowledge into routine clinical practice has been variable. It has become increasing clear that primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion if it can be performed in a timely manner. Recent European data suggest that transfer for direct PCI may also be preferable to fibrinolytic therapy. We believe it is time to establish a national policy for treatment of patients with STEMI to develop a coordinated system of care similar to that of the level 1 trauma system.
引用
收藏
页码:1339 / 1345
页数:7
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