Related Experiment Video

Updated: Jul 9, 2026

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
14:35

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Published on: April 17, 2021

[New health care delivery model in cardiology -- Myocardial Infarction Network Essen]

Oliver Bruder1, Christoph K Naber, Bernhard Grosch

  • 1Klinik für Kardiologie und Angiologie, Elisabeth-Krankenhaus Essen, Essen, Germany. o.bruder@elisabeth-essen.de

Herz
|December 7, 2007
PubMed

Insights

An urban network for ST-elevation myocardial infarction (STEMI) successfully transferred patients to high-volume percutaneous coronary intervention (PCI) centers. This approach demonstrates feasibility for comprehensive STEMI care, including integrated healthcare options.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Public Health

Context:

  • Current guidelines recommend primary percutaneous coronary intervention (PCI) for acute ST-elevation myocardial infarction (STEMI).
  • Urban STEMI networks are crucial for timely and effective treatment.
  • High-volume PCI centers are associated with better patient outcomes.

Purpose:

  • To assess the feasibility of an urban STEMI network focused on patient transfer to high-volume PCI centers.
  • To evaluate the effectiveness of integrated healthcare within a STEMI network.
  • To demonstrate the successful implementation of a comprehensive STEMI care model.

Summary:

  • The "Herzinfarktverbund Essen" network treated 489 STEMI patients in its first year.
  • The network prioritized patient transfer to high-volume PCI centers.
  • Integrated healthcare services, including diagnostics, therapies, and rehabilitation, were offered.

Impact:

  • The study demonstrates the feasibility of establishing and operating an exhaustive urban STEMI network.
  • This model facilitates efficient patient management and access to specialized PCI care.
  • Integrated healthcare components enhance the overall quality and comprehensiveness of STEMI treatment and recovery.

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...