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[Network for the treatment of acute myocardial infarction in the province of Mantova: results after 2 years of work].

Identifieur interne : 000600 ( PubMed/Corpus ); précédent : 000599; suivant : 000601

[Network for the treatment of acute myocardial infarction in the province of Mantova: results after 2 years of work].

Auteurs : Roberto Zanini ; Corrado Lettieri ; Michele Romano ; Francesca Buffoli ; Antonio Izzo ; Giorgio Schiavone ; Nicola Baccaglioni ; Marco Aroldi ; Mariarosa Ferrari

Source :

RBID : pubmed:14664296

English descriptors

Abstract

Since June 2001, in the province of Mantova, we have been carrying out a program for the management of acute myocardial infarction based on early assessment of the patients' risk profile, on telematic connection among care centers and on optimization of in- and out-of-hospital critical pathways for the access to care.

PubMed: 14664296

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pubmed:14664296

Le document en format XML

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<name sortKey="Zanini, Roberto" sort="Zanini, Roberto" uniqKey="Zanini R" first="Roberto" last="Zanini">Roberto Zanini</name>
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<nlm:affiliation>Dipartimento di Cardiologia, Azienda Ospedaliera "Carlo Poma", Mantova. cardiomantova@virgilio.it</nlm:affiliation>
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<name sortKey="Lettieri, Corrado" sort="Lettieri, Corrado" uniqKey="Lettieri C" first="Corrado" last="Lettieri">Corrado Lettieri</name>
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<name sortKey="Romano, Michele" sort="Romano, Michele" uniqKey="Romano M" first="Michele" last="Romano">Michele Romano</name>
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<name sortKey="Buffoli, Francesca" sort="Buffoli, Francesca" uniqKey="Buffoli F" first="Francesca" last="Buffoli">Francesca Buffoli</name>
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<name sortKey="Izzo, Antonio" sort="Izzo, Antonio" uniqKey="Izzo A" first="Antonio" last="Izzo">Antonio Izzo</name>
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<name sortKey="Schiavone, Giorgio" sort="Schiavone, Giorgio" uniqKey="Schiavone G" first="Giorgio" last="Schiavone">Giorgio Schiavone</name>
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<name sortKey="Baccaglioni, Nicola" sort="Baccaglioni, Nicola" uniqKey="Baccaglioni N" first="Nicola" last="Baccaglioni">Nicola Baccaglioni</name>
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<name sortKey="Aroldi, Marco" sort="Aroldi, Marco" uniqKey="Aroldi M" first="Marco" last="Aroldi">Marco Aroldi</name>
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<div type="abstract" xml:lang="en">Since June 2001, in the province of Mantova, we have been carrying out a program for the management of acute myocardial infarction based on early assessment of the patients' risk profile, on telematic connection among care centers and on optimization of in- and out-of-hospital critical pathways for the access to care.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Since June 2001, in the province of Mantova, we have been carrying out a program for the management of acute myocardial infarction based on early assessment of the patients' risk profile, on telematic connection among care centers and on optimization of in- and out-of-hospital critical pathways for the access to care.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Our network provides connection among the following centers: advanced life support ambulances, 7 hospitals, 3 coronary care units, 1 cath lab on call 24 hours a day for primary angioplasty, 1 thoracic surgery division. This program, through its strong telematic platform, allows early assessment of myocardial infarction, and provides primary angioplasty to all high-risk patients, being fibrinolytic treatment reserved only to the low-risk patients admitted in peripheral hospitals.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Two hundred and twenty patients with acute myocardial infarction were treated with angioplasty; 179 (81%) patients underwent primary angioplasty, 26 (12%) patients facilitated angioplasty and 15 patients (7%) rescue angioplasty; 121 patients (55%) were first admitted in the Mantova hospital, 65 patients (30%) were referred to Mantova from peripheral hospitals and 34 patients (15%) were directly transported to the cath lab by advanced life support ambulances. Procedural success was obtained in 98% of cases, with 05% intraprocedural mortality. In-hospital mortality was 55%, while mortality of cardiogenic shock patients was 36%. Recurrence of acute myocardial infarction occurred in 1% and major bleeding in 2.2% of patients. One patient with cardiogenic shock died during transport. Mean door-to-balloon time was 73 min with 39% reduction in the second period of recruitment after telematic connection.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This program, developed in the setting of a provincial network for the management of acute myocardial infarction, provided primary angioplasty to all high-risk patients, with a high procedural success rate. Within a few months, time to treatment was minimized by the employment of telematic facilities.</AbstractText>
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