Requirements and sustainability of primary PCI programs in Spain for the management of patients with STEMI. SEC, AEEC, and SEMES consensus document

被引：2

作者：

Cequier, Angel ^{[1
]}

Perez de Prado, Armando ^{[2
]}

Belen Cid, Ana ^{[3
]}

Martin-Moreiras, Javier ^{[4
]}

Rodriguez-Leor, Oriol ^{[5
]}

Ramon Rumoroso, Jose ^{[6
]}

Moreno, Raul ^{[7
]}

Serrador, Ana ^{[8
]}

Raposeiras, Sergio ^{[9
]}

Ariza, Albert ^{[1
]}

Lopez de Sa, Esteban ^{[7
]}

Iniguez, Andres ^{[10
]}

Lopez Sendon, Jose Luis ^{[7
]}

Javier Delgado, Francisco ^{[10
]}

Gil Perez, Rocio ^{[11
]}

Julio Jimenez-Alegre, Jose ^{[12
]}

Jose Vazquez, Manuel ^{[13
]}

Manuel Flores, Jose ^{[14
]}

Bueno, Hector ^{[15
]}

Anguita, Manuel ^{[16
]}

机构：

[1] Univ Barcelona, Hosp Univ Bellvitge, IDIBELL, Area Enfermedades Corazon, Barcelona, Spain

[2] Hosp Univ Leon, Serv Cardiol, Leon, Spain

[3] Hosp Clin Univ Santiago, Serv Cardiol, Santiago De Compostela, A Coruna, Spain

[4] Hosp Univ Salamanca, Serv Cardiol, Salamanca, Spain

[5] Hosp Badalona Germans Trias & Pujol, Serv Cardiol, Barcelona, Spain

[6] Hosp Galdakao Usansolo, Serv Cardiol, Galdakao, Vizcaya, Spain

[7] Hosp Univ La Paz, Serv Cardiol, IDIPAZ, Madrid, Spain

[8] Hosp Clin Univ Valladolid, Serv Cardiol, Valladolid, Spain

[9] Hosp Alvaro Cunqueiro, Serv Cardiol, Vigo, Pontevedra, Spain

[10] Hosp Santa Creu & Sant Pau, Serv Cardiol, Barcelona, Spain

[11] Hosp Univ Virgen Victoria, Serv Cardiol, Malaga, Spain

[12] Univ Alfonso X El Sabio, SUMMA 112, Madrid, Spain

[13] Hosp Salnes, Serv Cardiol, Vilagarcia De Arousa, Pontevedra, Spain

[14] Urgencias Sanitarias Galicia 061, Santiago De Compostela, A Coruna, Spain

[15] Hosp Univ 12 Octubre, Serv Cardiol, Madrid, Spain

[16] Hosp Univ Reina Sofia, Serv Cardiol, Cordoba, Spain

来源：

REC-INTERVENTIONAL CARDIOLOGY | 2019年 / 1卷 / 02期

关键词：

ST-segment elevation acute myocardial infarction; Primary percutaneous coronary intervention; Requirements; Medical emergency systems; Program sustainability; PERCUTANEOUS CORONARY INTERVENTION; ACUTE MYOCARDIAL-INFARCTION; ST-SEGMENT-ELEVATION; REPERFUSION THERAPY; PRIMARY ANGIOPLASTY; STRATEGY; MORTALITY; OUTCOMES; ASSOCIATION; GUIDELINES;

D O I：

10.24875/RECICE.M19000042

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Primary percutaneous coronary intervention (pPCI) is the best modality of reperfusion in ST segment elevation in acute myocardial infarction (STEMI). Its application requires networked assistance systems whose implementation requires significant organizational and logistical changes. In comparison with other scenarios of urgent action, a series of aspects are specific to the pPCI programs. They require immediate, clearly pre-established strategies, carried out by highly skilled professionals who attend to a high volume of highly complex patients. The lack of homogeneity in the creation and development of reperfusion programs in Spain has led to great differences in their implementation. If the pPCI programs are not carried out under adequate conditions, their sustainability can be complex. The present document, agreed between different scientific societies, aims to analyze the current situation in Spain of the network care programs for STEMI, identify their limitations and deficiencies, assess their vulnerability and establish a series of recommendations to ensure their sustainability.

引用

页码：108 / 119

页数：12

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