Prevoz bolnikov na primarno PTKA iz Splošne bolnišnice Novo mesto v Ljubljano v letu 2002
Transport of patients for primary PTCA from General hospital Novo mesto to Ljubljana in 2002

slovenian

2004

volume 73, issue 12

Angina, Unstable   Angioplasty, Transluminal, Percutaneous Coronary   cardiovascular disease   Myocardial Infarction   Patient Transfer   Time Factors

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background. The treatment of acute coronary syndrome (ACS) with ST-segment elevation with primary percutaneous transluminal coronary angioplasty (PTCA) is the best way to treat these patients. Primary PTCA is also practicable withpatients who are admitted into institution without catheter laboratory. The transport of patients into the tertiary institution is safe, but it is important to keep the time of ischemia as short as possible and to reach the time interval of door-balloon as recommended by the guidelines. The ACS patients with ST-segment elevation that were directed into General Hospital Novo mesto after examination at the internistic emergency department have beenredirected to KC Ljubljana for realization of PTCA since October 2001. Methods. A prospective analysis of patients with ACS with STsegment elevation,who had been transferred from General Hospital Novo mesto to KC Ljubljana in the period from January 1, 2002 to December 31, 2002 to have a primary PTCA, was performed. The analysis comprised the following: the time interval of handling the patients at Internistic department of General Hospital Novo mesto, the time of transport of patients to Ljubljana and total time interval from the arrival of patients to General Hospital Novo mesto to the first inflation of balloon in Ljubljana. We monitored the complications that occurred during the treatment of the patients. Results. In the above mentioned period 29 patients (24 males and 5 females) were transported from the General Hospital Novo mesto to the KC Ljubljana to have a primary PTCA performed. The total time interval measured between the patients' arrival to General Hospital Novo mesto to the first inflation of balloon in Ljub jana in the year 2002 was 145 minutes, which is 17 minutes better than in the previousperiod. The time interval recommended by theguidelines was achieved with four patients. (Abstract truncated at 2000 characters)

10.04.2014