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In search of lost time: modern treatment of acute myocardial infarction. Marek Kondys, MD Paweł Buszman, MD, FESC, FACC Interventional Cardiology Department,

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Presentation on theme: "In search of lost time: modern treatment of acute myocardial infarction. Marek Kondys, MD Paweł Buszman, MD, FESC, FACC Interventional Cardiology Department,"— Presentation transcript:

1 In search of lost time: modern treatment of acute myocardial infarction. Marek Kondys, MD Paweł Buszman, MD, FESC, FACC Interventional Cardiology Department, AHP, Dąbrowa, Poland

2 ESC: STEMI/PCI Guidlines

3 Upper-Silesia: 24h/7d cath labs for AMI treatment 20 year experience! Population of Upper-Silesia: 4,9 mln 50 km KATOWICE: GCM, SLAM Zabrze AHP: Cath labs 1 mln. Bielsko Ustroń Dąbrowa G. Transportation: Max. 30 min. to the nearest cath lab Częstochowa Rybnik

4 American Heart of Poland, Ltd Suspicion of ACS-ECG in ambulance Transmission of ECG from ambulance to cath lab in a reference center acceptation by interventional cardiologist Reference center with cah lab Local hospital STEMI or High Risk ACS ECG transmission through mobile phone LIFE NET SYSTEM (MEDTRONIC) Low risk ACS or non-coronary chest pain

5 American Heart of Poland, Ltd Transmitted ECG ECG at admission to ICD

6 American Heart of Poland, Ltd Prox. LAD occlusion Predilatation and stent implantation After stenting Primary PCI

7 American Heart of Poland, Ltd The end of the procedure ECG after 3 days

8 In-hospital mortality vs treatment modality Silesian Registry of ACS October 2003 – September 2004 (12 month)

9 Treatment strategy – Time – Prognosis Time: Chest pain – hospital admission 30 day mortality Silesian Registry of ACS October 2003 – September 2004 (12 miesięcy)

10 Improving Primary PCI I.Reperfuse more people with PPCI II.Reperfuse faster III.Reperfuse better 1.STOP MYOCARDIAL INJURY 2.Restore normal myocardial metabolism 3.Prevent myocardial injury 4.Enhance myocyte recovery


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