Facility-based approach for the management of acute ST segment elevation myocardial infarction with cardiogenic shock in a rural medical centre: the Durango model

Autor: David Hughes, Andrew Joseph Carter, Jad Raffoul, Linden Lane, Leah LeSage, Shelley Langenhorst, Matthew Smolin, Michael Dempsey, Michael Gleason, Steven Weiss, William D Anderson
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Open Heart, Vol 10, Iss 2 (2023)
Druh dokumentu: article
ISSN: 2053-3624
DOI: 10.1136/openhrt-2023-002299
Popis: Introduction Cardiogenic shock (CS) complicates 5%–15% of cases of acute myocardial infarction (AMI) with inpatient mortality greater than 40%. The implementation of standardised protocols may improve clinical outcomes in patients with AMI-CS.Methods and analysis The Durango model is a prospective single-centre registry designed to enable early identification of patients with STEMI-CS to facilitate primary reperfusion therapy with a shock team management algorithm in a rural level II heart attack centre. This prospective registry includes all patients >18 years of age presenting with STEMI with or without CS beginning on 1 February 2023. The primary outcome measures are adherence to model-based documentation of SCAI shock Classification prehospital and in the ED with appropriate STEMI shock alert for AMI and stages C, D, E shock; use of mechanical circulatory support Pre-PCI and door to support time
Databáze: Directory of Open Access Journals