Infarto agudo del miocardio: el factor tiempo

Thrombolytic agents and primary angioplasty (ACP) are two well defined methods for the treatment of patients with ST segment elevation myocardial infarction (STEMI). The use of both methods consecutively, called facilitated angioplasty, is a third alternative, that offers few advantages and is restr...

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Autor principal:	Kauffmann Q,Ronald
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2008
Materias:	Angioplasty Myocardial infarction Thrombolytic therapy
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900001
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

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spelling	oai:scielo:S0034-988720080009000012008-11-12Infarto agudo del miocardio: el factor tiempoKauffmann Q,Ronald Angioplasty Myocardial infarction Thrombolytic therapy Thrombolytic agents and primary angioplasty (ACP) are two well defined methods for the treatment of patients with ST segment elevation myocardial infarction (STEMI). The use of both methods consecutively, called facilitated angioplasty, is a third alternative, that offers few advantages and is restricted to a small group of patients. The experience abroad demonstrated that ACP offers a higher reduction in mortality than thrombolysis. This is also the case in a national repon published in this issue, showing that hospital mortality of patients treated with thrombolysis and ACP was 10.5% and 5.6%, respectively (p <0.01). The figures for long term mortality were 20.4% and 9.7%, respectively (p <0.01). The crucial factor to improve the treatment results in myocardial infarction in to reduce the time of total ischemia, from the onset ofsymptoms to the start of reperfusion therapy Nowadays, the therapeutic challenges, besides improving percutaneous and pharmacological interventions, are to achieve an early consultation and to reduce institutional timing.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.9 20082008-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900001es10.4067/S0034-98872008000900001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Angioplasty Myocardial infarction Thrombolytic therapy
spellingShingle	Angioplasty Myocardial infarction Thrombolytic therapy Kauffmann Q,Ronald Infarto agudo del miocardio: el factor tiempo
description	Thrombolytic agents and primary angioplasty (ACP) are two well defined methods for the treatment of patients with ST segment elevation myocardial infarction (STEMI). The use of both methods consecutively, called facilitated angioplasty, is a third alternative, that offers few advantages and is restricted to a small group of patients. The experience abroad demonstrated that ACP offers a higher reduction in mortality than thrombolysis. This is also the case in a national repon published in this issue, showing that hospital mortality of patients treated with thrombolysis and ACP was 10.5% and 5.6%, respectively (p <0.01). The figures for long term mortality were 20.4% and 9.7%, respectively (p <0.01). The crucial factor to improve the treatment results in myocardial infarction in to reduce the time of total ischemia, from the onset ofsymptoms to the start of reperfusion therapy Nowadays, the therapeutic challenges, besides improving percutaneous and pharmacological interventions, are to achieve an early consultation and to reduce institutional timing.
author	Kauffmann Q,Ronald
author_facet	Kauffmann Q,Ronald
author_sort	Kauffmann Q,Ronald
title	Infarto agudo del miocardio: el factor tiempo
title_short	Infarto agudo del miocardio: el factor tiempo
title_full	Infarto agudo del miocardio: el factor tiempo
title_fullStr	Infarto agudo del miocardio: el factor tiempo
title_full_unstemmed	Infarto agudo del miocardio: el factor tiempo
title_sort	infarto agudo del miocardio: el factor tiempo
publisher	Sociedad Médica de Santiago
publishDate	2008
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008000900001
work_keys_str_mv	AT kauffmannqronald infartoagudodelmiocardioelfactortiempo
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Infarto agudo del miocardio: el factor tiempo

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