Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology

Translated title of the contribution: Pre-hospital treatment of STEMI patients. A scientific statement of the working group acute cardiac care of the European society of cardiology

Marco Tubaro, Nicolas Danchin, Patrick Goldstein, Gerasimos Filippatos, Yonathan Hasin, Magda Heras, Petr Jansky, Tone M. Norekval, Eva Swahn, Kristian Thygesen, Christiaan Vrints, Doron Zahger, Hans R. Arntz, Abdelouahab Bellou, Jean E. De La Coussaye, Leonardo De Luca, Kurt Huber, Yves Lambert, Maddalena Lettino, Bertil LindahlScott McLean, Lutz Nibbe, William F. Peacock, Susanna Price, Tom Quinn, Christian Spaulding, Gabriel Tatu-Chitoiu, Frans Van De Werf

Research output: Contribution to journalArticlepeer-review

Abstract

In ST-elevation myocardial infarction (STEMI) the pre-hospital phase is the most critical, as the administration of the most appropriate treatment in a timely manner is instrumental for mortality reduction. STEMI systems of care based on networks of medical institutions connected by an efficient emergency medical service are pivotal. The first steps are devoted to minimize the patient's delay in seeking care, rapidly dispatch a properly staffed and equipped ambulance to make the diagnosis on scene, deliver initial drug therapy and transport the patient to the most appropriate (not necessarily the closest) cardiac facility. Primary PCI is the treatment of choice, but thrombolysis followed by coronary angiography and possibly PCI is a valid alternative, according to patient's baseline risk, time from symptoms onset and primary PCI-related delay. Paramedics and nurses have an important role in pre-hospital STEMI care and their empowerment is essential to increase the eff ectiveness of the system. Strong cooperation between cardiologists and emergency medicine doctors is mandatory for optimal pre-hospital STEMI care. Scientific societies have an important role in guideline implementation as well as in developing quality indicators and performance measures; health care professionals must overcome existing barriers to optimal care together with political and administrative decision makers.

Translated title of the contributionPre-hospital treatment of STEMI patients. A scientific statement of the working group acute cardiac care of the European society of cardiology
Original languageSpanish
Pages (from-to)60-70
Number of pages11
JournalRevista Espanola de Cardiologia
Volume65
Issue number1
DOIs
Publication statusPublished - Jan 2012

Keywords

  • Ambulance
  • Emergency medical service
  • Nurses
  • Paramedics
  • Pre-hospital
  • Primary coronary angioplasty
  • Reperfusion
  • ST-elevation myocardial infarction
  • Systems of care
  • Thrombolysis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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