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Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Arch+Cardiol+Mex 2020 ; 90 (Supl): 33-35 Nephropedia Template TP
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Atencion de los sindromes coronarios agudos durante la contingencia sanitaria por brote de SARS-CoV-2 #MMPMID32523135
Pina-Reyna Y; Garcia-Rincon A; Ortiz-Fernandez P PH; Alcocer-Gamba MA; Gutierrez-Fajardo P; Merino-Rajme JA; Reyes-Teran G
Arch Cardiol Mex 2020[]; 90 (Supl): 33-35 PMID32523135show ga
The communications accumulated in the last weeks make it clear that there is no agreement to define the best treatment strategy in patients with acute coronary syndrome (SICA). In patients presenting with an acute myocardial infarction with ST-segment elevation (IAMCESST), it has been suggested to favor fibrinolysis (FL) over primary percutaneous coronary intervention (PCI), reserving ICP for cases of failed FL(1),(2); however, some societies have maintained the indication of the ICPp as the repercussion method of choice(3). In SICAs without ST segment elevation (SICASESST) the recommendations are very similar, favoring medical treatment over percutaneous coronary intervention in this subgroup of patients(1). Several companies consider the contagion status, particularly in the SICASESST, to decide which repercussion follow(3). Anticipating that the epidemiological curve in Mexico will be similar to that observed in most countries, we recommend continuing the care of patients with SICA, the catheterization rooms must maintain their operation.