Delivery of primary percutaneous coronary intervention for the management of acute ST segment elevation myocardial infarction: summary of the Cardiac Care Network of Ontario Consensus Report
| Autor: | Bruce Sawadsky, Kevin Glasgow, Madhu K. Natarajan, Eric A. Cohen, Bruce J Lubelsky, Terri Swabey, Marino Labinaz, Randal Watson, Wendy Fucile |
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| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Time Factors Acute ST segment elevation myocardial infarction medicine.medical_treatment Consensus Development Conferences as Topic MEDLINE Myocardial Infarction Community Networks Electrocardiography Heart Conduction System Angioplasty Fibrinolysis medicine Humans Myocardial infarction cardiovascular diseases Angioplasty Balloon Coronary Health Outcomes/Public Policy Intensive care medicine Ontario medicine.diagnostic_test business.industry Percutaneous coronary intervention medicine.disease surgical procedures operative Transportation of Patients Conventional PCI Practice Guidelines as Topic Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Canadian journal of cardiology. 22(3) |
| ISSN: | 0828-282X |
| Popis: | Tremendous debate has developed over the efficacy of primary percutaneous coronary intervention (PCI) compared with fibrinolysis as the preferred treatment for acute ST segment elevation myocardial infarction (STEMI). In 2002, the Ontario Ministry of Heath and Long-Term Care commissioned the Cardiac Care Network of Ontario to develop consensus recommendations regarding the provincial coordination and provision of urgent PCI for STEMI patients. The panel's work has provided important insights into the acute treatment of STEMI that may be useful to other jurisdictions and may provide a reference for other regions considering the implementation of primary PCI for the management of STEMI patients in their community. In the present report, the evidence for primary PCI is reviewed, the important barriers to implementing this strategy are summarized and several recommendations and models of care for the delivery of primary PCI for STEMI on a wide scale are presented. |
| Databáze: | OpenAIRE |
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