Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Management strategies for ST-elevation myocardial infarction in the emergency department Rezkalla SH; Ahmed MWMJ 2007[Jul]; 106 (4): 219-24Review of existing evidence supports that percutaneous coronary intervention (PCI) is superior to thrombolytic therapy in patients with acute myocardial infarction. If, however, a dedicated intervention team is not available onsite, transfer to another facility should be considered if reperfusion could be achieved within 90 minutes. If that goal cannot be achieved within 120 minutes, thrombolytic therapy should be administered with a planned transfer to a facility with PCI capability. In patients with cardiogenic shock or recurrence of anginal chest pain, PCI should be immediately considered. The value of administering full or modified dose thrombolytic therapy and then transferring for immediate PCI has not been demonstrated yet. Development of dedicated protocols for management of ST-elevation myocardial infarction developed by a community-based emergency medical service, emergency department, and cardiovascular service is highly recommended.|*Angioplasty, Balloon, Coronary[MESH]|Algorithms[MESH]|Clinical Competence[MESH]|Coronary Angiography[MESH]|Emergency Service, Hospital/*organization & administration[MESH]|Evidence-Based Medicine[MESH]|Humans[MESH]|Myocardial Infarction/diagnosis/*therapy[MESH]|Patient Care Team/organization & administration[MESH]|Randomized Controlled Trials as Topic[MESH]|Thrombolytic Therapy[MESH]|Time Factors[MESH] |
