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ORIGINAL PAPER
Is the time between onset of pain and restoration of patency of infarct-related artery shortened in patients with myocardial infarction? The effects of the Kielce Region System for Optimal Management of Acute Myocardial Infarction
 
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Publication date: 2014-09-19
 
 
Medical Studies 2014;30(3):135-140
 
KEYWORDS
ABSTRACT
Introduction: The importance of delay in the restoration of infarct-related artery patency in patients with myocardial infarction was discussed, and actions were undertaken in the Kielce Region aimed at shortening this time within the System for Optimal Management of Acute Myocardial Infarction.
Aim of the research: To evaluate the effectiveness of shortening time delays during transport of patients and diagnostics of myocardial infarction in the Kielce Region.
Material and methods: Time delays were analysed in 5,934 patients with ST-segment elevation myocardial infarction (STEMI), hospitalised in cardiology wards with interventional cardiology on 24-hour duty, during the period 2008–2012. Time delays were analysed between the onset of myocardial infarction pain and undertaking treatment – T1 and T2 time – within which a patient with myocardial infarction, after admission to hospital, has intervention performed on infarct-related coronary artery.
Results: During the period 2008–2012, the median T1 time was successfully shortened from 355 to 203 min, and the T2 time from 101 to 48 min.
Conclusions: The effectiveness of the system was confirmed, and the necessity for further improvement of the system indicated.
REFERENCES (15)
1.

Van de Werf F, Bax J, Betriu A, et al. Management of acute myocardial infarction in patients presenting with persistent ST-segment elevation: the Task Force on the Management of ST-Segment Elevation Acute Myocardial Infarction of the European Society of Cardiology. Eur Heart J 2008; 29: 2909-45.
 
2.

Task Force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology; Steg PG, James SK, Atar D, et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 2012; 33: 2569-619.
 
3.

Janion M, Polewczyk A, Gąsior M, Poloński L. Progress in the management of ST-segment elevation myocardial infarction during economic transition in Poland between 1992 and 2006. Int J Cardiol 2009; 135: 253-65.
 
4.

Dudek D, Legutko J, Siudak Z, et al. Organizacja interwencyjnego leczenia pacjentów z zawałem serca STEMI i NSTEMI w Polsce [Polish]. Kardiol Pol 2010; 68: 618-24.
 
5.

De Luca G, Suryapranata H, Ottervanger JP, Antman EN. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts. Circulation 2006; 113: 2398-405.
 
6.

Sielski J, Janion M, Janion-Sadowska A, et al. The Swietokrzyskie System for the Optimal Management of Acute Myocardial Infarction. Cardiol J 2011; 18: 134-9.
 
7.

Wojewoda Świętokrzyski Bożentyna Pałka-Koruba. Zalecenia w sprawie postępowania z pacjentami ze stwierdzonym zawałem mięśnia sercowego dla podmiotów realizujących zadania w zakresie ratownictwa medycznego na terenie województwa świętokrzyskiego [Polish]. CZP. IV.0717-19/10, Kielce, 21 kwietnia 2010.
 
8.

Sadowski M, Gąsior M, Gierlotka M, et al. Gender-related differences in mortality after ST-segment elevation myocardial infarction: a large multicentre national registry. EuroIntervention 2011; 6: 1068-72.
 
9.

Dudek D, Rakowski T, Dziewierz A, Mielecki W. Time delay in primary angioplasty: how relevant is it? Heart 2007; 93: 1164-6.
 
10.

Dudek D, Rakowski T, El Massri N, et al. Patency of infarct related artery after pharmacological reperfusion during transfer to primary percutaneous coronary intervention influences left ventricular function and one-year clinical outcome. Int J Cardiol 2008; 124: 26-31.
 
11.

Widimsky P, Fajadet J, Danchin N, Wijns W. “Stent 4 Life” targeting PCI at all who will benefit the most. A joint project between EAPCI, Euro-PCR, EUCOMED and the ESC Working Group on Acute Cardiac Care. EuroIntervention 2009; 4: 555-7.
 
12.

Knot J, Widimsky P, Wijns W, et al. How to set up an effective national primary angioplasty network: lessons learned from five European countries. EuroIntervention 2009; 5: 299-309.
 
13.

Widimsky P, Zelisko M, Jansky P, et al. The incidence, treatment strategies and outcomes of acute coronary syndromes in the “reperfusion network” of different hospital types in the Czech Republic: results of the Czech evaluation of acute coronary syndromes in hospitalized patients (CZECH) registry. Int J Cardiol 2007; 119: 212-19.
 
14.

Kalla K, Christ G, Karnik R, et al. Implementation of guidelines improves the standard of care: the Vienna registry on reperfusion strategies in ST-elevation myocardial infarction (Vienna STEMI registry). Circulation 2006; 113: 2398-405.
 
15.

Dudek D, Siudak Z, Dziewierz A, et al. Local hospital networks for STEMI treatment for a population of half a million inhabitants increase the use of invasive treatment of acute coronary syndromes to the European recommended level. The Małopolska Registry of Acute Coronary Syndromes 2005-2006. Kardiol Pol 2008; 66: 489-97.
 
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ISSN:1899-1874
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