Marek Kondys, MD Paweł Buszman, MD, FESC, FACC

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Presentation transcript:

In search of lost time: modern treatment of acute myocardial infarction. Marek Kondys, MD Paweł Buszman, MD, FESC, FACC Interventional Cardiology Department, AHP, Dąbrowa, Poland

ESC: STEMI/PCI Guidlines

Upper-Silesia: 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

Transmitted ECG ECG at admission to ICD American Heart of Poland, Ltd www.klinikiserca.pl

Primary PCI Prox. LAD occlusion After stenting Predilatation and stent implantation American Heart of Poland, Ltd www.klinikiserca.pl

ECG after 3 days The end of the procedure American Heart of Poland, Ltd www.klinikiserca.pl

Silesian Registry of ACS October 2003 – September 2004 (12 month) In-hospital mortality vs treatment modality

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

Improving Primary PCI Reperfuse more people with PPCI Reperfuse faster Reperfuse better STOP MYOCARDIAL INJURY Restore normal myocardial metabolism Prevent myocardial injury Enhance myocyte recovery