Reperfusion Strategies and Systems of Care in ST-Elevation Myocardial Infarction

被引:1
作者
Godiwala, Tapan [1 ]
Srivastava, Mukta [1 ]
Gupta, Anuj [1 ]
机构
[1] Univ Maryland, Dept Cardiol, Baltimore, MD 21201 USA
关键词
ST-elevation myocardial infarction; Systems of care; Percutaneous coronary intervention; Thrombolysis; Reperfusion; PERCUTANEOUS CORONARY INTERVENTION; DOOR-TO-BALLOON; ASSOCIATION TASK-FORCE; THROMBOLYTIC THERAPY; IMMEDIATE THROMBOLYSIS; FIBRINOLYTIC THERAPY; PRIMARY ANGIOPLASTY; AMERICAN-COLLEGE; RANDOMIZED-TRIAL; TIME;
D O I
10.1016/j.ccl.2012.07.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Approximately 330,000 ST-elevation myocardial infarctions (STEMI) occur yearly in the United States. Emergent reperfusion is the cornerstone of STEMI therapy and the key to restoration of coronary blood flow in an infarct-related vessel. Reperfusion methods include thrombolysis, primary percutaneous coronary intervention, or both methods combined. Selection of the appropriate reperfusion strategy is essential, along with having an efficient system of care capable of delivering these therapies. Timely reperfusion is highly dependent on a well-structured care system designed to meet the needs of each individual community. This article reviews the data behind different reperfusion strategies and introduces successful systems-of-care models.
引用
收藏
页码:629 / +
页数:10
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