Comparative Analysis of Coronary Angioplasty Delays.

• Autorzy: Małgorzata Bujnowska

Warianty tytułu

Opóźnienia wykonania angioplastyki wieńcowej u pacjentów z zawałem mięśnia sercowego.

• Języki publikacji: EN

Abstrakty

EN

According to the guidelines of the European Society of Cardiology (2012), the time elapsing between the patient's arrival at hospital or their contact with a health care facility and the filling of the balloon should not exceed 90 minutes for primary PCI (60 minutes when the patient goes to hospital within 120 minutes of the onset of symptoms or hits directly to the hospital where PCI is performed). The aim. the aim of the study is to analyze the emptying of coronary angioplasty in patients with ST segment elevation myocardial infarction. Material and methods. 423 patients with ST elevation myocardial infarction were included in the study. Patient delays (time elapsing between the occurrence of pain and provision of help) and system delays (time elapsing to call for hospitalization and time elapsing to hospitalization for PCI) were analyzed. Results. in 2007, angioplasty was performed 3 - 6 hours after the onset of pain, in 2016, within 3-6 hours (29%). in 2007 the highest number of STEMI patients (104 patients (36.9%)) called for help within one hour of stenocardial pain; in 2016, 35 people (24.8%) called during the first hour after the onset of pain. in the STEMI group, the highest number of patients were brought to hospital within 1- 2 hours after the call for help - 110 patients (39.0%). in 2016 the largest number of patients were hospitalized for <1 hour (41.1%). in 2007 the largest number of patients with STEMI were operated on within 1- 2 hours of arrival at hospital. in 2016 coronary angioplasty was performed most often within 1- 2 hours following the patients' hospitalization (43.2%). Conclusions. 1. the delays in the time elapsing from the occurrence of pain to performance of PCI were similar in both groups. 2. Minor delays in the time elapsing from the onset of pain to the call for help occurred in patients in 2007. 3. Minor delays in the time elapsing from calling for help to hospitalization occurred in patients in 2016. 4. the delays in the time elapsing from hospitalization to PCI were similar in both groups. Despite the shortening of transport time in 2016, there was no shortening of the overall time elapsing between the occurrence of pain and the performance of PCI, due to the increase in the delay occurring between the time elapsing from the onset of pain to calling for help. (original abstract)

Najlepsze wyniki zabiegu angioplastyki wieńcowej uzyskuje się, jeżeli czas od wystąpienia bólu do zabiegu nie przekracza 3 godzin. Zgodnie z wytycznymi Europejskiego Towarzystwa Kardiologicznego z 2012 roku czas od przybycia do szpitala lub nawiązania kontaktu z placówką opieki zdrowotnej do napełnienia balonu nie powinien przekraczać 90 minut dla pierwotnej PCI (60 minut, gdy pacjent trafia do szpitala w ciągu 120 minut od wystąpienia objawów lub trafia bezpośrednio do szpitala, w którym wykonuje się PCI). (abstrakt oryginalny)

Słowa kluczowe

EN

Civilization diseases; Health; Health care protection

PL

Choroby cywilizacyjne; Zdrowie; Ochrona zdrowia

• Czasopismo: Zeszyty Naukowe Państwowej Wyższej Szkoły Zawodowej im. Witelona w Legnicy
• Rocznik: 2019
• Numer: nr 31
• Strony: 85--100

Twórcy

autor

Małgorzata Bujnowska

• The Witelon State University of Applied Sciences in Legnica

Bibliografia

• Acute coronary syndrome. How to treat more effectively and faster? Oral antiplatelet drugs, red. D. Dudek, K.J. Filipiak, J. Stępińska, Publishing Termedia, Poznań 2006.
• Borowiec-Kocańda A., Ostrzycki A., Risk factors and clinical course in men and women with acute coronary syndrome treated with primary angioplasty, "Kardiologia Polska" 2008, nr 66, s. 9.
• Bradley EH., Herrin J., Wang Y. et al., Door-to-drug and door-to-balloon times: where can we improve? Time to reperfusion therapy in patients with ST-segment elevation myocardial infarction (STEMI), "American Heart Journal" 2006, nr 151, s. 1281-1287.
• Chaves P.H., et al., Subclinical cardiovascular disease in olde adults; insights from the cardiovascular health study, "The American Journal of Geriatric Cardiology" 2004, nr 13(3), s. 137 -151.
• De Luca G., Suryapranata H., Ottervanger J.P., Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts, "Circulation" 2004, Mar 16, nr 109(10),1223 - 1225.
• De Luca G., Suryapranata H., Zijlstra F., et al., On behalf of the ZWOLLE Myocardial Infarction Study Group. Symptom-Onset-to-Balloon Time and Mortality in Patients With Acute Myocardial Infarction Treated by Primary Angioplasty, "Journal of the American College of Cardiology" 2003, nr 42, s. 991- 997.
• Dudek D., Dziewierz A., Siudak Z., Transportation with very long transfer delays ( > 90 min.) for facilitated PCI with reduced-dose fibrinolysis in patients with ST-segment elevation myocardial infarction, Kraków Network, "International Journal of Cardiology" 2010, 8, nr 139(3), s. 218 - 227.
• Dudek D., Legutko J., Siudak Z., et al., Organization of intervention for patients with STEMI and NSTEMI in Poland, "Kardiologia Polska" 2010, nr 68, s. 618 - 624.
• Drygas W., Słońska Z., Torbicki A., et al., Media campaigns in the promotion of health and cardiovascular disease prevention - international experiences [w:] Medycyna Praktyczna, tom 1, Manual of Polish Forum of Prevention, red. P. Podolec, Kraków 2007.
• Dziuba M., Kosmider M., Antithrombotic therapy during percutaneous coronary intervention - news from the European Cardiology Congress in Stockholm, "Kardiologia Oparta na Faktach" 2010, nr 4, s. 367 - 370.
• Gąsior M., Pres D., Gierlotka M., et al., Factors affecting microvascular flow in patients with myocardial infarction treated with percutaneous coronary intervention, "Postępy w Kardiologii Interwencyjnej" 2007, nr 3, s. 121-127.
• Gajewski P., Lesniak W., Management of acute ST elevation myocardial infarction. Summary of guidelines for the European Society of Cardiology 2012, "Medycyna Praktyczna", 2012, nr 260(10), s. 12 -19.
• Hazinski M.F., Key elements of the 2010 Respiratorial Cardiopulmonary Resuscitation Guidelines and Emergency Management of Cardiovascular Disorders, "American Heart Association" 2010.
• Hikmat H., Madżitow, Donyor A. Alimow, Evaluation of primary efficacy of coronary angioplasty in patients with acute myocardial infarction with persistent ST elevation on the basis of ECG curve analysis, "Postępy w Kardiologii Interwencyjnej" 2011, nr 7, 4 (26), s. 292 - 296.
• Ibanez B., Suárez-Barrientos A., López-Romero P., Acute coronary syndromes Original article: Circadian variations of infarct size in acute myocardial infarction "Heart" 2011, nr 97(12), s. 970 - 976.
• Karcz M., Bekta P., Skwarek M. et al., Prevalence of ECG teletransmission in pre-hospital treatment of patients with suspected acute myocardial infarction - effects of pilot program POLKARD in eastern Mazovia, "Postępy w Kardiologii Interwencyjnej" 2006, nr 2, s. 274 - 280.
• Maciejewski P., Witkowski A., Register of delays in treatment of patients with primary MI in the Mazowieckie voivodship - assumptions, objectives, methodology, "Postępy w Kardiologii Interwencyjnej" 2007, nr 3(2) s. 69 - 75.
• Martin-Sanchez F.J., Gil V., Llorens P., et al., Barthel Index-Enhanced Feedback for Effective Cardical Treatment, Journal of the American "Geriatrics Society" 2012, Mar, nr 60(3), s. 493 - 498.
• McMullan J., Hinckley W., Bently J., et al., Reperfusion is delayed beyond guideline recommendations in patients requiring interhospital helicopter transfer for treatment of ST-segment elevation myocardial infarction, "Annals of Emergency Medicine" 2010, nr 58(6), s. 575 - 576.
• Mosca L., Benjamin E.J., Berra K., Effectiveness-based guidelines for the prevention of cardiovascular disease in women--2011 update: a guideline from the American heart association, "Journal of American College of Cardiology" 2011, nr 57(12), s. 1404 -1423.
• Pawłowska-Jenerowicz W., Lechowicz W., Dąbrowski M., Favourable impact of acute myocardial infarction treatment by percutaneous coronary intervention on cardiovascular efficiency during one-year observation, "Postępy w Kardiologii Interwencyjnej" 2006, nr 2, s. 199 - 206.
• Podolec J., Żmudka K., "Time is muscle", how to shorten the pre-hospital phase? A new challenge in the treatment of acute myocardial infarction, "Kardiologia Polska" 2008, nr 66(6), s. 615 - 616.
• Poloński L., Gąsior M., What has changed in the treatment of ST-segment elevation myocardial infarction in Poland in 2003-2009? Data from the Polish Registry of Acute Coronary Syndromes (PL-ACS), "Kardiologia Polska" 2011, nr 69(11), s. 1109 -1118.
• Sadowski M., Gender-based transport benefits for primary coronary angioplasty - are they the same for men and women?, "Cardiology Journal" 2011, nr 18(3), s. 254 - 260.
• Solnica B., Cardiac troponins in the diagnosis of acute cardiac conditions. Recommendations European Society of Cardiology 2010, "Medycyna Praktyczna" 2011, https://www.mp.pl/oit/krazenia/57295,troponiny-sercowe-w-diagnostyce-ostrych-stanow kardiologicznych-zalecenia-european-society-of-cardiology-2010, dostęp: 11.09.2017 r.
• Thygesen K., Alpert J.S., Jaffe A.S. et al., Joint ESC/ACCF/AHA/WHF Task Force for the Universal Definition of Myocardial Infarction: Third universal definition of myocardial infarction, "Kardiologia Polska", 2012, supl.V, s. 235 - 254.
• Sorajja P., Gersh B.J, Cox D.A., Impact of delay to angioplasty in patients with acute coronary syndromes undergoing invasive management: analysis from the ACUITY (Acute Catheterization and Urgent Intervention Triage strategY) trial, "Journal of the American College of Cardiology" 2010, Apr 6, nr 55(14), s. 1416 -1424.
• Widimsky P., Stellova B., Groch L et al., Prevalence of normal coronary angiography in the acute phase of suspected ST-elevation myocardial infarction: experience from the PRAGUE studies, "Canadian Journal of Cardiology" 2006; nr 22, s. 1147 -1152.
• Widimsky P., Wijns W., Fajadet J. et al., Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries, "European Heart Journal" 2010, nr 31, s. 943.
• Wojewódzka-Żelezniakowicz M., Lech Czaban S., Chabielska E., Ładny J., Acute coronary in the emergency medicine activities, "Postępy Nauk Medycznych" 2010, nr 6, s. 474 - 479.
• Working Group on ST segment elevation myocardial infarction - ESC guidelines for acute ST elevation myocardial infarction, European Cardiac Society (ESC), 2012, https:// www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-Myocardial-Infarctionin-patients-presenting-with-ST-segment-elevation-Ma, dostęp: 09.09.2017 r.