dott andrea rolandi s s emodinamica s c cardiologia n.
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STEMI in Liguria: Esperienza Ospedale Galliera. Dott. Andrea Rolandi S.S.Emodinamica – S.C. Cardiologia. STEMI in Liguria: Esperienza Ospedale Galliera. PTCA primaria e rescue dal 2003 al 2010 1187 pazienti trattati. STEMI in Liguria: Esperienza Ospedale Galliera.

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STEMI in Liguria: Esperienza Ospedale Galliera

Pazienti con STEMI suddivisi per classe di età

Popolazione: caratteristiche anagrafiche

Sesso maschile 76%

Età media: 65 anni

Età >79 anni: 12.5 %

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STEMI in Liguria: Esperienza Ospedale Galliera

Pazienti con pregresso infarto: 10%

slide9

STEMI in Liguria: Esperienza OspedaleGalliera

Trattamento farmacologico:

Impiego di inibitore piastrinico in aggiunta ad

aspirina, clopidogrel ed eparina

slide10

STEMI in Liguria: Esperienza OspedaleGalliera

Trattamento interventistico: Impiego di stent

slide11

STEMI in Liguria: Esperienza OspedaleGalliera

Tasso annuo di impiego di trombectomia

e di stent a rilascio di farmaco

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STEMI in Liguria: Esperienza Ospedale Galliera

Outcome procedurale: flusso TIMI finale

slide16

STEMI in Liguria: Esperienza Ospedale Galliera

Reparto di dimissione:

Cardiologia-UTIC 76%

Altro reparto 24%

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ESC/EACTS GUIDELINES

Guidelines on myocardialrevascularization

Reperfusionstrategies

Primary percutaneous coronary intervention

It is essential to make every effort to minimize all time delays,

especially within the first 2 h after onset of symptoms, by the

implementation of a system of care network.

The preferred pathway is immediate transportation of

STEMI patients to a PCI-capable centre offering an uninterrupted

primary PCI service by a team of high-volume operators. Patients

admitted to hospitals without PCI facilities should be transferred

to a PCI-capable centre and no fibrinolytics should be administered

if the expected time delay between first medical contact (FMC)

and balloon inflation is < 2 h. If the expected delay is > 2 h (or

> 90 min in patients < 75 years old with large anterior STEMI

and recent onset of symptoms), patients admitted to a non-PCI

centre should immediately receive fibrinolysis and then be transferred to a PCI-capable centre where angiography and PCI

should be performed in a time window of 3–24 h.