1. 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

2. ESC: STEMI/PCI Guidlines

3. 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

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

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

7. ECG after 3 days The end of the procedure
American Heart of Poland, Ltd

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

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

10. 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