[Acute myocardial infarction: importance of the networking in the initial management]
Markus Oberhänsli1, Jean-Christophe Stauffer, Mario Togni
1Service de médecine, Unité de cardiologie, HFR-Hôpital cantonal et Université de Fribourg, 1708 Fribourg.
Abstract:
Early reperfusion with prompt re-establishment of coronary blood flow improves survival in patients suffering from acute ST-elevation myocardial infarction (STEMI). Leaving systemic thrombolysis for primary percutaneous coronary intervention (PCI) is justified by clinical results in favor of PCI. Nevertheless, primary PCI necessitates additional transfer time and requires an efficient territorial networking. The present article summarizes the up-to-dated management of patients with acute STEMI and/or overt cardiogenic shock.
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