Acta clinica Croatica, Vol. 62. No. 1, 2023.
Original scientific paper
https://doi.org/10.20471/acc.2023.62.01.15
Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction?
Goran Čolaković
; Emergency Medical Services, Belgrade, Serbia
Slađana Anđelić
orcid.org/0000-0002-5233-8287
; Emergency Medical Services, Belgrade, Serbia
Snežana Bogunović
; Emergency Medical Services, Belgrade, Serbia
Nataša Čolaković
orcid.org/0000-0001-6738-086X
; Department of Oncologic Surgery, Bežanijska kosa University Medical Center, Belgrade, Serbia
Abstract
The aim of the study was to assess whether current guidelines for diagnosis and
treatment of acute ST-elevation myocardial infarction (STEMI) in daily clinical practice are adequately
applied in the Belgrade Emergency Medical Service (EMS). A retrospective research included
2,982 STEMI patients who were cared for by EMS teams. Therapy consisting of morphine, oxygen,
nitroglycerin and aspirin (MONA) was applied. Dual antiaggregation therapy (aspirin 325 mg +
ticagrelor 180 mg or clopidogrel 600 mg) was administered to patients with primary percutaneous
coronary intervention (PCI) indicated. With electrocardiographic monitoring included, the patients
were transported directly to PCI unit with announcement of the arrival. Response times I-V were
measured. There was an increasing trend in the number of STEMI patients. A rapid increase in the
use of dual antiaggregation therapy (MONA and clopidogrel or MONA and ticagrelor) was reported
from year to year, as well as a dramatic increase in the use of ticagrelor compared to clopidogrel. The
time from receiving the call to the arrival on the scene was 13.72 minutes, and the time from receiving
the call to hospital arrival was 52.83 minutes. Our physicians care for STEMI patients in accordance
with the current international and local recommendations.
Keywords
Guidelines; Acute myocardial infarction; ST elevation; Emergency medical care
Hrčak ID:
307268
URI
Publication date:
1.4.2023.
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