[Protocol for the care of acute myocardial infarction in emergency: Código infarto (The Infarction Code)]

Area of Science:

• Public Health
• Cardiology
• Health Policy

Background:

• Cardiovascular diseases (CVDs) are a leading cause of death globally and in Mexico, representing over 30% of all deaths and causing significant loss of healthy life years.
• Acute myocardial infarction (AMI) accounts for a substantial proportion of premature deaths from CVDs, highlighting an urgent need for effective interventions.
• Current investments in cardiovascular health are insufficient, with a lack of comprehensive programs for disease treatment and risk factor control within the Mexican Social Security Institute (IMSS).

Purpose of the Study:

• To introduce the
• A todo corazón
• program, an institutional initiative designed to enhance cardiovascular health promotion, prevention, and care.
• To detail the implementation of the
• Código infarto
• protocol, an emergency care strategy aimed at optimizing the diagnosis and treatment of AMI patients.

Main Methods:

• Development and implementation of the
• A todo corazón
• program focused on promoting healthy habits and disease prevention.
• Establishment of the
• Código infarto
• protocol for emergency services to streamline AMI care.
• Focus on achieving timely reperfusion treatment for AMI patients, targeting primary angioplasty within 90 minutes or fibrinolytic therapy within 30 minutes of emergency admission.

Main Results:

• The
• A todo corazón
• program represents the first institutional effort to comprehensively address cardiovascular health within IMSS.
• The
• Código infarto
• protocol aims to significantly reduce treatment delays for acute myocardial infarction.
• Successful implementation is expected to improve patient outcomes through timely and effective reperfusion therapies.

Conclusions:

• The
• A todo corazón
• program and
• Código infarto
• protocol are crucial steps in combating the high burden of cardiovascular diseases in Mexico.
• These initiatives address critical gaps in cardiovascular care, focusing on prevention, early detection, and rapid treatment of acute myocardial infarction.
• The program's success hinges on strengthening cardiovascular health actions and ensuring prompt access to life-saving interventions for AMI patients within the IMSS network.