Timely reperfusion for ST-segment elevation myocardial infarction: Effect of direct transfer to primary angioplasty on time delays and clinical outcomes

被引：16

作者：

Estevez-Loureiro, Rodrigo ^{[1
]}

Lopez-Sainz, Angela ^{[2
]}

Perez de Prado, Armando ^{[1
]}

Cuellas, Carlos ^{[1
]}

Calvino Santos, Ramon ^{[2
]}

Alonso-Orcajo, Norberto ^{[1
]}

Salgado Fernandez, Jorge ^{[2
]}

Manuel Vazquez-Rodriguez, Jose ^{[2
]}

Lopez-Benito, Maria ^{[1
]}

Fernandez-Vazquez, Felipe ^{[1
]}

机构：

[1] Complejo Asistencial Univ Leon CAULE, Div Cardiol, Altos Nava S-N, Leon 24071, Spain

[2] Complejo Hosp Univ Coruna CH UAC, Div Cardiol, La Coruna 15006, Spain

来源：

WORLD JOURNAL OF CARDIOLOGY | 2014年 / 6卷 / 06期

关键词：

Primary angioplasty; Direct transfer; STsegment elevation myocardial infarction network; Primary percutaneous coronary intervention; Myocardial infarction;

D O I：

10.4330/wjc.v6.i6.424

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 preferred reperfusion therapy for patients presenting with ST-segment elevation myocardial infarction (STEMI) when it can be performed expeditiously and by experienced operators. In spite of excellent clinical results this technique is associated with longer delays than thrombolysis and this fact may nullify the benefit of selecting this therapeutic option. Several strategies have been proposed to decrease the temporal delays to deliver PPCI. Among them, prehospital diagnosis and direct transfer to the cath lab, by-passing the emergency department of hospitals, has emerged as an attractive way of diminishing delays. The purpose of this review is to address the effect of direct transfer on time delays and clinical events of patients with STEMI treated by PPCI. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.

引用

页码：424 / 433

页数：10