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Lower mortality with pre-hospital electrocardiogram triage by telemedicine support in high risk acute myocardial infarction treated with primary angioplasty: Preliminary data from the Bari–BAT public Emergency Medical Service 118 registry

2015; Elsevier BV; Volume: 185; Linguagem: Inglês

10.1016/j.ijcard.2015.03.138

1874-1754

Natale Daniele Brunetti, Lucia Bisceglia, Giulia Dellegrottaglie, Angela Ivana Bruno, Gaetano Di Pietro, Luisa De Gennaro, Matteo Di Biase,

Cardiac Imaging and Diagnostics

The extension of necrotic zone and event-free survival in patients with acute myocardial infarction (AMI) is significantly driven by time to reperfusion [ 1 Francone M. Bucciarelli-Ducci C. Carbone I. Canali E. Scardala R. Calabrese F.A. Sardella G. Mancone M. Catalano C. Fedele F. Passariello R. Bogaert J. Agati L. Impact of primary coronary angioplasty delay on myocardial salvage, infarct size, and microvascular damage in patients with ST-segment elevation myocardial infarction: insight from cardiovascular magnetic resonance. J. Am. Coll. Cardiol. 2009; 54: 2145-2153 Abstract Full Text Full Text PDF PubMed Scopus (223) Google Scholar , 2 Rollando D. Puggioni E. Robotti S. De Lisi A. Ferrari Bravo M. Vardanega A. Pattaro I. De Benedetti F. Brignole M. Symptom onset-to-balloon time and mortality in the first seven years after STEMI treated with primary percutaneous coronary intervention. Heart. 2012; 98: 1738-1742 Crossref PubMed Scopus (41) Google Scholar ]. Several strategies have been therefore implemented over time to achieve the highest possible rates of subjects with AMI reperfused within the benchmark "golden hour" [ 3 Bradley E.H. Herrin J. Wang Y. Barton B.A. Webster T.R. Mattera J.A. Roumanis S.A. Curtis J.P. Nallamothu B.K. Magid D.J. McNamara R.L. Parkosewich J. Loeb J.M. Krumholz H.M. Strategies for reducing the door-to-balloon time in acute myocardial infarction. N. Engl. J. Med. 2006; 355: 2308-2320 Crossref PubMed Scopus (683) Google Scholar , 4 Welsh R.C. Armstrong P.W. It's a matter of time: contemporary pre-hospital management of acute ST elevation myocardial infarction. Heart. 2005; 91: 1524-1526 Crossref PubMed Scopus (14) Google Scholar , 5 Giugliano R.P. Braunwald E. TIMI Study Group Selecting the best reperfusion strategy in ST-elevation myocardial infarction: it's all a matter of time. Circulation. 2003; 108: 2828-2830 Crossref PubMed Scopus (66) Google Scholar ].