In search of lost time: modern treatment of acute myocardial infarction.

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In search of lost time modern treatment of acute
myocardial infarction.

• Pawel Buszman, MD, FESC, FACC
• Upper Silesian Heart Center
• Katowice, Poland

Snowmass, Co 15.03.2007
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ESC STEMI/PCI Guidlines
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24h/7d cath labs for AMI treatment20 year
experience!
Population of Upper-Silesia 4,9 mln
Czestochowa
Dabrowa G.
Zabrze
KATOWICE GCM, SLAM
Transportation Max. 30 min. to the nearest cath
lab
Rybnik
Bielsko
AHP Cath labs
Ustron
1 mln.
50 km
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ECG transmission through mobile phoneLIFE 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
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American Heart of Poland, Ltd www.klinikiserca.pl
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American Heart of Poland, Ltd www.klinikiserca.pl
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Prox. LAD occlusion
After stenting
Stent implantation
American Heart of Poland, Ltd www.klinikiserca.pl
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American Heart of Poland, Ltd www.klinikiserca.pl
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American Heart of Poland, Ltd www.klinikiserca.pl
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Silesian Registry of ACS October 2003 September
2004 (12 month)

• In-hospital mortality vs treatment modality

8,4
1,4
11,3
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Silesian Registry of ACS October 2003 September
2004 (12 miesiecy)

• 30-day mortality

10,1
2,2
13,0
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Silesian Registry of ACS October 2003 September
2004 (12 miesiecy)

• Treatment strategy Time Prognosis

30 day mortality


Time Chest pain hospital admission
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