Appropriateness for the Current Guidelines on Reperfusion Treatment of Patients Applying to Our Hospital with STEMI

Sukru Karaarslan, Yusuf Izzettin Alihanoglu, Bekir Serhat Yildiz, Osman Sonmez, Ahmet Soylu, Ahmet Bacaksiz, Ihsan Alur, Kurtulus Ozdemir, Akif Duzenli
2012 Türk Kardiyoloji Derneği Arşivi  
Objectives: This study investigated the appropriateness of treatment for patients admitted with ST-segment elevation myocardial infarction (STEMI) according to the current guidelines. We also aimed to determine in-patient and out-patient factors affecting optimal reperfusion therapy. Study design: The reperfusion therapy of 176 patients with provider to the time of initiation of a thrombolytic (door to needle time) were calculated. Similarly, the time from admission at the emergency service
more » ... of our hospital after referral to the moadmission to ES at our hospital to the moment of initiation of a thrombolytic (ES to needle time) were calculated. In order to determine the amount of in-hospital delay, the time from ES admission to the call to the cardiology department and the time for the cardiologist to evaluate the patient and transfer time were recorded. Whether the referring physician was a cardiologist and the effect of work hours on the reperfusion period was also recorded. Results: The door to balloon time in the referred patient group was calculated as an average of 228 minutes, while the time for patients directly admitted to ES was calculated as an average of 98 minutes. Patients referred for the mechanical reperfusion period compared to American Heart Association (AHA) guidelines consisted of only 6% of the eligible patients, while according to the European Society of Cardiology (ESC) guidelines 13% of patients were appropriate. Patients who were directly admitted to ES, experienced rates according to AHA guidelines and 73% experienced these rates according to ESC guidelines. We also cian's specialty (cardiologist or other) on reperfusion time. Conclusion: Compliance rates of reperfusion therapy for patients presenting with STEMI was very low. We realized, when taking into consideration the reasons for delay in terms of both health community and the policy of the country, it is obvious that we have to take strict measures. Amaç: --
doi:10.5543/tkda.2012.68047 pmid:23363894 fatcat:lssv7nnkqbeshjnjaqqmqq37yi