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 journalArticle

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.

Original languageSpanish
Pages (from-to)60-70
Number of pages11
JournalRevista Espanola de Cardiologia
Volume65
Issue number1
DOIs
Publication statusPublished - Jan 2012

Fingerprint

Cardiology
Allied Health Personnel
Ambulances
Emergency Medicine
Emergency Medical Services
Therapeutics
Coronary Angiography
Nurses
Guidelines
Delivery of Health Care
Drug Therapy
Mortality
ST Elevation Myocardial Infarction

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

Cite this

Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology. / Tubaro, Marco; Danchin, Nicolas; Goldstein, Patrick; Filippatos, Gerasimos; Hasin, Yonathan; Heras, Magda; Jansky, Petr; Norekval, Tone M.; Swahn, Eva; Thygesen, Kristian; Vrints, Christiaan; Zahger, Doron; Arntz, Hans R.; Bellou, Abdelouahab; De La Coussaye, Jean E.; De Luca, Leonardo; Huber, Kurt; Lambert, Yves; Lettino, Maddalena; Lindahl, Bertil; McLean, Scott; Nibbe, Lutz; Peacock, William F.; Price, Susanna; Quinn, Tom; Spaulding, Christian; Tatu-Chitoiu, Gabriel; Van De Werf, Frans.

In: Revista Espanola de Cardiologia, Vol. 65, No. 1, 01.2012, p. 60-70.

Research output: Contribution to journalArticle

Tubaro, M, Danchin, N, Goldstein, P, Filippatos, G, Hasin, Y, Heras, M, Jansky, P, Norekval, TM, Swahn, E, Thygesen, K, Vrints, C, Zahger, D, Arntz, HR, Bellou, A, De La Coussaye, JE, De Luca, L, Huber, K, Lambert, Y, Lettino, M, Lindahl, B, McLean, S, Nibbe, L, Peacock, WF, Price, S, Quinn, T, Spaulding, C, Tatu-Chitoiu, G & Van De Werf, F 2012, 'Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology', Revista Espanola de Cardiologia, vol. 65, no. 1, pp. 60-70. https://doi.org/10.1016/j.recesp.2011.10.001
Tubaro, Marco ; Danchin, Nicolas ; Goldstein, Patrick ; Filippatos, Gerasimos ; Hasin, Yonathan ; Heras, Magda ; Jansky, Petr ; Norekval, Tone M. ; Swahn, Eva ; Thygesen, Kristian ; Vrints, Christiaan ; Zahger, Doron ; Arntz, Hans R. ; Bellou, Abdelouahab ; De La Coussaye, Jean E. ; De Luca, Leonardo ; Huber, Kurt ; Lambert, Yves ; Lettino, Maddalena ; Lindahl, Bertil ; McLean, Scott ; Nibbe, Lutz ; Peacock, William F. ; Price, Susanna ; Quinn, Tom ; Spaulding, Christian ; Tatu-Chitoiu, Gabriel ; Van De Werf, Frans. / Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology. In: Revista Espanola de Cardiologia. 2012 ; Vol. 65, No. 1. pp. 60-70.
@article{7c784a48410e4426a0d4643d802e24da,
title = "Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaraci{\'o}n cient{\'i}fica del Working Group Acute Cardiac Care de la European Society of Cardiology",
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.",
keywords = "Ambulance, Emergency medical service, Nurses, Paramedics, Pre-hospital, Primary coronary angioplasty, Reperfusion, ST-elevation myocardial infarction, Systems of care, Thrombolysis",
author = "Marco Tubaro and Nicolas Danchin and Patrick Goldstein and Gerasimos Filippatos and Yonathan Hasin and Magda Heras and Petr Jansky and Norekval, {Tone M.} and Eva Swahn and Kristian Thygesen and Christiaan Vrints and Doron Zahger and Arntz, {Hans R.} and Abdelouahab Bellou and {De La Coussaye}, {Jean E.} and {De Luca}, Leonardo and Kurt Huber and Yves Lambert and Maddalena Lettino and Bertil Lindahl and Scott McLean and Lutz Nibbe and Peacock, {William F.} and Susanna Price and Tom Quinn and Christian Spaulding and Gabriel Tatu-Chitoiu and {Van De Werf}, Frans",
year = "2012",
month = "1",
doi = "10.1016/j.recesp.2011.10.001",
language = "Spagnolo",
volume = "65",
pages = "60--70",
journal = "Revista Espanola de Cardiologia",
issn = "0300-8932",
publisher = "Ediciones Doyma, S.L.",
number = "1",

}

TY - JOUR

T1 - Tratamiento prehospitalario de los pacientes con IAMCEST. Una declaración científica del Working Group Acute Cardiac Care de la European Society of Cardiology

AU - Tubaro, Marco

AU - Danchin, Nicolas

AU - Goldstein, Patrick

AU - Filippatos, Gerasimos

AU - Hasin, Yonathan

AU - Heras, Magda

AU - Jansky, Petr

AU - Norekval, Tone M.

AU - Swahn, Eva

AU - Thygesen, Kristian

AU - Vrints, Christiaan

AU - Zahger, Doron

AU - Arntz, Hans R.

AU - Bellou, Abdelouahab

AU - De La Coussaye, Jean E.

AU - De Luca, Leonardo

AU - Huber, Kurt

AU - Lambert, Yves

AU - Lettino, Maddalena

AU - Lindahl, Bertil

AU - McLean, Scott

AU - Nibbe, Lutz

AU - Peacock, William F.

AU - Price, Susanna

AU - Quinn, Tom

AU - Spaulding, Christian

AU - Tatu-Chitoiu, Gabriel

AU - Van De Werf, Frans

PY - 2012/1

Y1 - 2012/1

N2 - 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.

AB - 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.

KW - Ambulance

KW - Emergency medical service

KW - Nurses

KW - Paramedics

KW - Pre-hospital

KW - Primary coronary angioplasty

KW - Reperfusion

KW - ST-elevation myocardial infarction

KW - Systems of care

KW - Thrombolysis

UR - http://www.scopus.com/inward/record.url?scp=84655161950&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84655161950&partnerID=8YFLogxK

U2 - 10.1016/j.recesp.2011.10.001

DO - 10.1016/j.recesp.2011.10.001

M3 - Articolo

AN - SCOPUS:84655161950

VL - 65

SP - 60

EP - 70

JO - Revista Espanola de Cardiologia

JF - Revista Espanola de Cardiologia

SN - 0300-8932

IS - 1

ER -