Cardiologia Croatica, Vol. 8 No. 12, 2013.
Review article
Application of pharmacoinvasive strategy in primary percutaneous coronary intervention network in Western Slavonia
Đeiti Prvulović
; General Hospital “Dr. Josip Benčević”, Slavonski Brod, Croatia
Abstract
Croatian Primary Percutaneous Intervention Network is an internationally recognized system of good organization of urgent treatment of cardiac patients. In everyday clinical practice, we have witnessed that the time required for the organization of primary percutaneous coronary intervention (pPCI), which represents the best way of reperfusion therapy in the treatment of patients with acute ST-segment elevation myocardial infarction is often too long and associated with unacceptably long de- lays.
Pharmacoinvasive strategy encompasses a selective use of fibrinolytic therapy to be followed by prompt transportation of patients to a center capable of undertaking percutanous coronary intervention and organizing invasive treatment within 3-24 hours. Considering the organizational difficulties caused by the incapability of undertaking prompt pPCI, the application of pharmacoinvasive approach would increase the number of patients that would be provided proper and timely reperfusion therapy.
Here are some practical recommendations for implementation of the pharmacoinvasive strategy in everyday clinical practice and protocol of the local organization of the pPCI network in the General Hospital “Dr. Josip Benčević “ in Slavonski Brod, Croatia.
Keywords
myocardial infarction; pharmacoinvasive strategy; fibrinolytic therapy; primary percutaneous coronary intervention; primary percutaneous coronary intervention network
Hrčak ID:
112593
URI
Publication date:
17.12.2013.
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