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A Journal on Internal Medicine

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Minerva Medica 2005 February;96(1):19-28

language: Italian

The treatment of ST-elevation acute myocardial infarction on the ground and in hospital: avoidable delays and basic organisation models

Cesaroni P.


Pharmacological or mechanical reperfusion is the cornerstone for the treatment of acute myocardial infarction and success depends on early treatment. Analysis of avoidable delays and the setting up of suitable organisation models are thus of fundamental importance. Primary angioplasty, provided it is carried out on the basis of the criteria recommended in the international guidelines, is more effective than fibrinolysis but is not practicable on a wide scale. The main purpose of the organisation into local networks is to be able to carry out primary angioplasty in the highest possible number of patients on the basis of real clinical indications and independently of geographical location or of the type of hospital structure available. A ''basic'' type of organisation model is presented and some operating schemes, differentiated according to the aid request procedure on the part of patients, are outlined.

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