Paweł Buszman, MD, FESC, FACC Upper Silesian Heart Center

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Presentation transcript:

In search of lost time: modern treatment of acute myocardial infarction. Paweł Buszman, MD, FESC, FACC Upper Silesian Heart Center Katowice, Poland Snowmass, Co 15.03.2007

ESC: STEMI/PCI Guidlines

24h/7d cath labs for AMI treatment: 20 year experience! Population of Upper-Silesia: 4,9 mln Częstochowa Dąbrowa G. Zabrze KATOWICE: GCM, SLAM Rybnik Transportation: Max. 30 min. to the nearest cath lab Bielsko AHP: Cath labs Ustroń 1 mln. 50 km

ECG transmission through mobile phone LIFE NET SYSTEM (MEDTRONIC) Suspicion of ACS-ECG in ambulance Transmission of ECG from ambulance to cath lab in a reference center acceptation by interventional cardiologist Low risk ACS or non-coronary chest pain STEMI or High Risk ACS Local hospital Reference center with cah lab American Heart of Poland, Ltd www.klinikiserca.pl

American Heart of Poland, Ltd www.klinikiserca.pl

American Heart of Poland, Ltd www.klinikiserca.pl

Prox. LAD occlusion After stenting Stent implantation American Heart of Poland, Ltd www.klinikiserca.pl

American Heart of Poland, Ltd www.klinikiserca.pl

American Heart of Poland, Ltd www.klinikiserca.pl

Silesian Registry of ACS October 2003 – September 2004 (12 month) In-hospital mortality vs treatment modality 11,3% 8,4% 1,4%

Silesian Registry of ACS October 2003 – September 2004 (12 miesięcy) 30-day mortality 13,0% 10,1% 2,2%

Treatment strategy – Time – Prognosis Silesian Registry of ACS October 2003 – September 2004 (12 miesięcy) Treatment strategy – Time – Prognosis 30 day mortality Time: Chest pain – hospital admission