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

2. ESC: STEMI/PCI Guidlines

3. 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

4. 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

5. American Heart of Poland, Ltd

6. American Heart of Poland, Ltd

7. Prox. LAD occlusion After stenting Stent implantation
American Heart of Poland, Ltd

8. American Heart of Poland, Ltd

9. American Heart of Poland, Ltd

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

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

12. 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