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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
Published on: May 28, 2019
[Proposal for initial management of uncomplicated ST elevation myocardial infarction in centers without percutaneous
Piero Custodio-Sánchez1, David Miranda-Noé2, L Marco López-Rojas3
1Unidad de Cardiología Intervencionista, Hospital Nacional Almanzor Aguinaga Asenjo, Chiclayo, Perú. Unidad de Cardiología Intervencionista Hospital Nacional Almanzor Aguinaga Asenjo Chiclayo Perú.
Insights
This study proposes a strategy for treating ST-segment elevation myocardial infarction (STEMI) in Peruvian healthcare centers lacking percutaneous coronary intervention. It emphasizes prompt diagnosis, fibrinolysis, and the pharmacoinvasive approach for effective reperfusion therapy.
Area of Science:
- Cardiology
- Emergency Medicine
- Public Health
Abstract:
ST-segment elevation myocardial infarction (STEMI) is a clinical entity whose adequate treatment will depend on its prompt recognition, accurate diagnosis, and management in reperfusion networks. The first contact with these patients is generally done in centers without reperfusion capacity, attended by non-cardiologist doctors, and in centers far from hospitals with greater resolution capacity, something that is well known in our country. This manuscript proposes a strategy for the diagnosis and treatment of STEMI in centers without percutaneous coronary intervention capacity of the public health system in Peru, emphasizing not losing sight of electrocardiographic patterns compatible with coronary artery occlusion, adequate fibrinolysis and management of its complications, the treatment of infarction in special populations and highlighting the importance of the pharmacoinvasive strategy as the main form of reperfusion treatment in our country.
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