Reperfusion Strategies in Acute Coronary Syndromes
被引:97
作者:
Bagai, Akshay
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h-index: 0
机构:
Univ Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Toronto, ON, CanadaUniv Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Toronto, ON, Canada
Bagai, Akshay
[1
]
Dangas, George D.
论文数: 0引用数: 0
h-index: 0
机构:
Mt Sinai Med Ctr, New York, NY 10029 USA
Cardiovasc Res Fdn, New York, NY USAUniv Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Toronto, ON, Canada
Dangas, George D.
[2
,3
]
Stone, Gregg W.
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Res Fdn, New York, NY USA
Columbia Univ, Med Ctr, New York, NY USAUniv Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Toronto, ON, Canada
Stone, Gregg W.
[3
,4
]
Granger, Christopher B.
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h-index: 0
机构:
Duke Clin Res Inst, Durham, NC USAUniv Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Toronto, ON, Canada
Granger, Christopher B.
[5
]
机构:
[1] Univ Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Toronto, ON, Canada
The appropriate timing of angiography to facilitate revascularization is essential to optimize outcomes in patents with ST-segment-elevation myocardial infarction and non-ST-segment-elevation acute coronary syndromes. Timely reperfusion of the infarct-related coronary artery in ST-segment-elevation myocardial infarction both with fibrinolysis or percutaneous coronary intervention minimizes myocardial damage, reduces infarct size, and decreases morbidity and mortality. Primary percutaneous coronary intervention is the preferred reperfusion method if it can be performed in a timely manner. Strategies to reduce health system-related delays in reperfusion include regionalization of ST-segment-elevation myocardial infarction care, performing prehospital ECGs, prehospital activation of the catheterization laboratory, bypassing geographically closer nonpercutaneous coronary intervention-capable hospitals, bypassing the percutaneous coronary intervention-capable hospital emergency department, and early and consistent availability of the catheterization laboratory team. With implementation of such strategies, there has been significant improvement in process measures, including door-to-balloon time. However, despite reductions in door-to-balloon times, there has been little change during the past several years in in-hospital mortality, suggesting additional factors including patient-related delays, optimization of tissue-level perfusion, and cardioprotection must be addressed to improve patient outcomes further. Early angiography followed by revascularization when appropriate also reduces rates of death, MI, and recurrent ischemia in patients with non-ST-segment-elevation acute coronary syndromes, with the greatest benefits realized in the highest risk patients. Among patients with non-ST-segment-elevation acute coronary syndromes with multivessel disease, choice of revascularization modality should be made as in stable coronary artery disease, with a goal of complete ischemic revascularization.
机构:
Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, CanadaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Armstrong, Paul W.
Gershlick, Anthony H.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Leicester Trust, Leicester Cardiovasc Biomed Res Unit, Natl Inst Hlth Res, Leicester, Leics, EnglandUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Gershlick, Anthony H.
Goldstein, Patrick
论文数: 0引用数: 0
h-index: 0
机构:
Lille Univ Hosp, SAMU, Lille, FranceUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Goldstein, Patrick
Wilcox, Robert
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Wilcox, Robert
Danays, Thierry
论文数: 0引用数: 0
h-index: 0
机构:
Boehringer Ingelheim GmbH & Co KG, Reims, FranceUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Danays, Thierry
Lambert, Yves
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Hosp Versailles, SAMU 78, Versailles, France
Mobile Intens Care Unit, Versailles, FranceUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Lambert, Yves
Sulimov, Vitaly
论文数: 0引用数: 0
h-index: 0
机构:
First Moscow State Med Univ, Dept Internal Dis, Moscow, RussiaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Sulimov, Vitaly
Rosell Ortiz, Fernando
论文数: 0引用数: 0
h-index: 0
机构:
Empresa Publ Emergencias Sanitarias, Almeria, SpainUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Rosell Ortiz, Fernando
Ostojic, Miodrag
论文数: 0引用数: 0
h-index: 0
机构:
Univ Belgrade, Sch Med, Belgrade, SerbiaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Ostojic, Miodrag
Welsh, Robert C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alberta, Mazankowski Alberta Heart Inst, Edmonton, AB, CanadaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Welsh, Robert C.
Carvalho, Antonio C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo, Dept Med, Div Cardiol, Sao Paulo, BrazilUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Carvalho, Antonio C.
Nanas, John
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Nanas, John
Arntz, Hans-Richard
论文数: 0引用数: 0
h-index: 0
机构:
Benjamin Franklin Med Ctr, Charite, Berlin, GermanyUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Arntz, Hans-Richard
Halvorsen, Sigrun
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Halvorsen, Sigrun
Huber, Kurt
论文数: 0引用数: 0
h-index: 0
机构:
Wilhelminenhosp, Dept Med Cardiol & Emergency Med 3, Vienna, AustriaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Huber, Kurt
Grajek, Stefan
论文数: 0引用数: 0
h-index: 0
机构:
Poznan Univ Med Sci, Dept Cardiol, Poznan, PolandUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Grajek, Stefan
Fresco, Claudio
论文数: 0引用数: 0
h-index: 0
机构:
Azienda Osped Univ Udine, Dept Cardiothorac Sci, Udine, ItalyUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Fresco, Claudio
Bluhmki, Erich
论文数: 0引用数: 0
h-index: 0
机构:
Boehringer Ingelheim GmbH & Co KG, Biberach, GermanyUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Bluhmki, Erich
Regelin, Anne
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Regelin, Anne
Vandenberghe, Katleen
论文数: 0引用数: 0
h-index: 0
机构:
Katholieke Univ Leuven, Dept Cardiovasc Sci, B-3000 Louvain, BelgiumUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Vandenberghe, Katleen
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h-index:
机构:
Bogaerts, Kris
Van de Werf, Frans
论文数: 0引用数: 0
h-index: 0
机构:
Katholieke Univ Leuven, Dept Cardiovasc Sci, B-3000 Louvain, BelgiumUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
机构:
Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, CanadaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Armstrong, Paul W.
Gershlick, Anthony H.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Hosp Leicester Trust, Leicester Cardiovasc Biomed Res Unit, Natl Inst Hlth Res, Leicester, Leics, EnglandUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Gershlick, Anthony H.
Goldstein, Patrick
论文数: 0引用数: 0
h-index: 0
机构:
Lille Univ Hosp, SAMU, Lille, FranceUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Goldstein, Patrick
Wilcox, Robert
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Wilcox, Robert
Danays, Thierry
论文数: 0引用数: 0
h-index: 0
机构:
Boehringer Ingelheim GmbH & Co KG, Reims, FranceUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Danays, Thierry
Lambert, Yves
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Hosp Versailles, SAMU 78, Versailles, France
Mobile Intens Care Unit, Versailles, FranceUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Lambert, Yves
Sulimov, Vitaly
论文数: 0引用数: 0
h-index: 0
机构:
First Moscow State Med Univ, Dept Internal Dis, Moscow, RussiaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Sulimov, Vitaly
Rosell Ortiz, Fernando
论文数: 0引用数: 0
h-index: 0
机构:
Empresa Publ Emergencias Sanitarias, Almeria, SpainUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Rosell Ortiz, Fernando
Ostojic, Miodrag
论文数: 0引用数: 0
h-index: 0
机构:
Univ Belgrade, Sch Med, Belgrade, SerbiaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Ostojic, Miodrag
Welsh, Robert C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alberta, Mazankowski Alberta Heart Inst, Edmonton, AB, CanadaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Welsh, Robert C.
Carvalho, Antonio C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo, Dept Med, Div Cardiol, Sao Paulo, BrazilUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Carvalho, Antonio C.
Nanas, John
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Nanas, John
Arntz, Hans-Richard
论文数: 0引用数: 0
h-index: 0
机构:
Benjamin Franklin Med Ctr, Charite, Berlin, GermanyUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Arntz, Hans-Richard
Halvorsen, Sigrun
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Halvorsen, Sigrun
Huber, Kurt
论文数: 0引用数: 0
h-index: 0
机构:
Wilhelminenhosp, Dept Med Cardiol & Emergency Med 3, Vienna, AustriaUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Huber, Kurt
Grajek, Stefan
论文数: 0引用数: 0
h-index: 0
机构:
Poznan Univ Med Sci, Dept Cardiol, Poznan, PolandUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Grajek, Stefan
Fresco, Claudio
论文数: 0引用数: 0
h-index: 0
机构:
Azienda Osped Univ Udine, Dept Cardiothorac Sci, Udine, ItalyUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Fresco, Claudio
Bluhmki, Erich
论文数: 0引用数: 0
h-index: 0
机构:
Boehringer Ingelheim GmbH & Co KG, Biberach, GermanyUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Bluhmki, Erich
Regelin, Anne
论文数: 0引用数: 0
h-index: 0
机构:Univ Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Regelin, Anne
Vandenberghe, Katleen
论文数: 0引用数: 0
h-index: 0
机构:
Katholieke Univ Leuven, Dept Cardiovasc Sci, B-3000 Louvain, BelgiumUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada
Vandenberghe, Katleen
论文数: 引用数:
h-index:
机构:
Bogaerts, Kris
Van de Werf, Frans
论文数: 0引用数: 0
h-index: 0
机构:
Katholieke Univ Leuven, Dept Cardiovasc Sci, B-3000 Louvain, BelgiumUniv Alberta, Canadian Virtual Coordinating Ctr Global Collabor, Edmonton, AB, Canada