[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 FerrariSource :
- Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology [ 1129-4728 ] ; 2003.
English descriptors
- KwdEn :
- MESH :
- geographic : Italy.
- organization & administration : Community Networks.
- therapy : Myocardial Infarction.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Telemedicine, Time Factors.
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
Links to Exploration step
pubmed:14664296Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Network for the treatment of acute myocardial infarction in the province of Mantova: results after 2 years of work].</title>
<author><name sortKey="Zanini, Roberto" sort="Zanini, Roberto" uniqKey="Zanini R" first="Roberto" last="Zanini">Roberto Zanini</name>
<affiliation><nlm:affiliation>Dipartimento di Cardiologia, Azienda Ospedaliera "Carlo Poma", Mantova. cardiomantova@virgilio.it</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lettieri, Corrado" sort="Lettieri, Corrado" uniqKey="Lettieri C" first="Corrado" last="Lettieri">Corrado Lettieri</name>
</author>
<author><name sortKey="Romano, Michele" sort="Romano, Michele" uniqKey="Romano M" first="Michele" last="Romano">Michele Romano</name>
</author>
<author><name sortKey="Buffoli, Francesca" sort="Buffoli, Francesca" uniqKey="Buffoli F" first="Francesca" last="Buffoli">Francesca Buffoli</name>
</author>
<author><name sortKey="Izzo, Antonio" sort="Izzo, Antonio" uniqKey="Izzo A" first="Antonio" last="Izzo">Antonio Izzo</name>
</author>
<author><name sortKey="Schiavone, Giorgio" sort="Schiavone, Giorgio" uniqKey="Schiavone G" first="Giorgio" last="Schiavone">Giorgio Schiavone</name>
</author>
<author><name sortKey="Baccaglioni, Nicola" sort="Baccaglioni, Nicola" uniqKey="Baccaglioni N" first="Nicola" last="Baccaglioni">Nicola Baccaglioni</name>
</author>
<author><name sortKey="Aroldi, Marco" sort="Aroldi, Marco" uniqKey="Aroldi M" first="Marco" last="Aroldi">Marco Aroldi</name>
</author>
<author><name sortKey="Ferrari, Mariarosa" sort="Ferrari, Mariarosa" uniqKey="Ferrari M" first="Mariarosa" last="Ferrari">Mariarosa Ferrari</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Network for the treatment of acute myocardial infarction in the province of Mantova: results after 2 years of work].</title>
<author><name sortKey="Zanini, Roberto" sort="Zanini, Roberto" uniqKey="Zanini R" first="Roberto" last="Zanini">Roberto Zanini</name>
<affiliation><nlm:affiliation>Dipartimento di Cardiologia, Azienda Ospedaliera "Carlo Poma", Mantova. cardiomantova@virgilio.it</nlm:affiliation>
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<author><name sortKey="Lettieri, Corrado" sort="Lettieri, Corrado" uniqKey="Lettieri C" first="Corrado" last="Lettieri">Corrado Lettieri</name>
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<author><name sortKey="Romano, Michele" sort="Romano, Michele" uniqKey="Romano M" first="Michele" last="Romano">Michele Romano</name>
</author>
<author><name sortKey="Buffoli, Francesca" sort="Buffoli, Francesca" uniqKey="Buffoli F" first="Francesca" last="Buffoli">Francesca Buffoli</name>
</author>
<author><name sortKey="Izzo, Antonio" sort="Izzo, Antonio" uniqKey="Izzo A" first="Antonio" last="Izzo">Antonio Izzo</name>
</author>
<author><name sortKey="Schiavone, Giorgio" sort="Schiavone, Giorgio" uniqKey="Schiavone G" first="Giorgio" last="Schiavone">Giorgio Schiavone</name>
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<author><name sortKey="Baccaglioni, Nicola" sort="Baccaglioni, Nicola" uniqKey="Baccaglioni N" first="Nicola" last="Baccaglioni">Nicola Baccaglioni</name>
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<author><name sortKey="Aroldi, Marco" sort="Aroldi, Marco" uniqKey="Aroldi M" first="Marco" last="Aroldi">Marco Aroldi</name>
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<author><name sortKey="Ferrari, Mariarosa" sort="Ferrari, Mariarosa" uniqKey="Ferrari M" first="Mariarosa" last="Ferrari">Mariarosa Ferrari</name>
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<series><title level="j">Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology</title>
<idno type="ISSN">1129-4728</idno>
<imprint><date when="2003" type="published">2003</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Community Networks (organization & administration)</term>
<term>Female</term>
<term>Humans</term>
<term>Italy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Myocardial Infarction (therapy)</term>
<term>Telemedicine</term>
<term>Time Factors</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Community Networks</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Myocardial Infarction</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Telemedicine</term>
<term>Time Factors</term>
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<front><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>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">14664296</PMID>
<DateCreated><Year>2003</Year>
<Month>12</Month>
<Day>10</Day>
</DateCreated>
<DateCompleted><Year>2004</Year>
<Month>02</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">1129-4728</ISSN>
<JournalIssue CitedMedium="Print"><Volume>4</Volume>
<Issue>10</Issue>
<PubDate><Year>2003</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology</Title>
<ISOAbbreviation>Ital Heart J Suppl</ISOAbbreviation>
</Journal>
<ArticleTitle>[Network for the treatment of acute myocardial infarction in the province of Mantova: results after 2 years of work].</ArticleTitle>
<Pagination><MedlinePgn>838-49</MedlinePgn>
</Pagination>
<Abstract><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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zanini</LastName>
<ForeName>Roberto</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Dipartimento di Cardiologia, Azienda Ospedaliera "Carlo Poma", Mantova. cardiomantova@virgilio.it</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lettieri</LastName>
<ForeName>Corrado</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Romano</LastName>
<ForeName>Michele</ForeName>
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<Author ValidYN="Y"><LastName>Buffoli</LastName>
<ForeName>Francesca</ForeName>
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<Author ValidYN="Y"><LastName>Izzo</LastName>
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<Author ValidYN="Y"><LastName>Schiavone</LastName>
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<Author ValidYN="Y"><LastName>Baccaglioni</LastName>
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<Author ValidYN="Y"><LastName>Aroldi</LastName>
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<Author ValidYN="Y"><LastName>Ferrari</LastName>
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<Language>ita</Language>
<PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType>
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<VernacularTitle>Rete provinciale per la terapia deII'infarto miocardico acuto a Mantova: risultati di due anni di attività.</VernacularTitle>
</Article>
<MedlineJournalInfo><Country>Italy</Country>
<MedlineTA>Ital Heart J Suppl</MedlineTA>
<NlmUniqueID>101223651</NlmUniqueID>
<ISSNLinking>1129-4728</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D019058">Community Networks</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000458">organization & administration</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D009203">Myocardial Infarction</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D017216">Telemedicine</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName>
</MeshHeading>
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