Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction?
The aim of the study was to assess whether current guidelines for diagnosis and treatment of acute ST-elevation myocardial infarction (STEMI) in daily clinical practice are adequately applied in the Belgrade Emergency Medical Service (EMS). A retrospective research included 2,982 STEMI patients w...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2023-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/443530 |
| _version_ | 1797206406430982144 |
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| author | Goran Čolaković Slađana Anđelić Snežana Bogunović Nataša Čolaković |
| author_facet | Goran Čolaković Slađana Anđelić Snežana Bogunović Nataša Čolaković |
| author_sort | Goran Čolaković |
| collection | DOAJ |
| description | The aim of the study was to assess whether current guidelines for diagnosis and
treatment of acute ST-elevation myocardial infarction (STEMI) in daily clinical practice are adequately
applied in the Belgrade Emergency Medical Service (EMS). A retrospective research included
2,982 STEMI patients who were cared for by EMS teams. Therapy consisting of morphine, oxygen,
nitroglycerin and aspirin (MONA) was applied. Dual antiaggregation therapy (aspirin 325 mg +
ticagrelor 180 mg or clopidogrel 600 mg) was administered to patients with primary percutaneous
coronary intervention (PCI) indicated. With electrocardiographic monitoring included, the patients
were transported directly to PCI unit with announcement of the arrival. Response times I-V were
measured. There was an increasing trend in the number of STEMI patients. A rapid increase in the
use of dual antiaggregation therapy (MONA and clopidogrel or MONA and ticagrelor) was reported
from year to year, as well as a dramatic increase in the use of ticagrelor compared to clopidogrel. The
time from receiving the call to the arrival on the scene was 13.72 minutes, and the time from receiving
the call to hospital arrival was 52.83 minutes. Our physicians care for STEMI patients in accordance
with the current international and local recommendations. |
| first_indexed | 2024-04-24T09:06:31Z |
| format | Article |
| id | doaj.art-bab4eec35d7b4277adfb63c46cf3644c |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:06:31Z |
| publishDate | 2023-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-bab4eec35d7b4277adfb63c46cf3644c2024-04-15T18:49:02ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512023-01-0162.112313010.20471/acc.2023.62.01.15Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction?Goran Čolaković0Slađana Anđelić1Snežana Bogunović2Nataša Čolaković3Emergency Medical Services, Belgrade, SerbiaEmergency Medical Services, Belgrade, SerbiaEmergency Medical Services, Belgrade, SerbiaDepartment of Oncologic Surgery, Bežanijska kosa University Medical Center, Belgrade, SerbiaThe aim of the study was to assess whether current guidelines for diagnosis and treatment of acute ST-elevation myocardial infarction (STEMI) in daily clinical practice are adequately applied in the Belgrade Emergency Medical Service (EMS). A retrospective research included 2,982 STEMI patients who were cared for by EMS teams. Therapy consisting of morphine, oxygen, nitroglycerin and aspirin (MONA) was applied. Dual antiaggregation therapy (aspirin 325 mg + ticagrelor 180 mg or clopidogrel 600 mg) was administered to patients with primary percutaneous coronary intervention (PCI) indicated. With electrocardiographic monitoring included, the patients were transported directly to PCI unit with announcement of the arrival. Response times I-V were measured. There was an increasing trend in the number of STEMI patients. A rapid increase in the use of dual antiaggregation therapy (MONA and clopidogrel or MONA and ticagrelor) was reported from year to year, as well as a dramatic increase in the use of ticagrelor compared to clopidogrel. The time from receiving the call to the arrival on the scene was 13.72 minutes, and the time from receiving the call to hospital arrival was 52.83 minutes. Our physicians care for STEMI patients in accordance with the current international and local recommendations.https://hrcak.srce.hr/file/443530GuidelinesAcute myocardial infarctionST elevationEmergency medical care |
| spellingShingle | Goran Čolaković Slađana Anđelić Snežana Bogunović Nataša Čolaković Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction? Acta Clinica Croatica Guidelines Acute myocardial infarction ST elevation Emergency medical care |
| title | Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction? |
| title_full | Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction? |
| title_fullStr | Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction? |
| title_full_unstemmed | Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction? |
| title_short | Do the Guidelines Guide the Belgrade Emergency Medical Service Physicians through the Management of Acute St-Elevation Myocardial Infarction? |
| title_sort | do the guidelines guide the belgrade emergency medical service physicians through the management of acute st elevation myocardial infarction |
| topic | Guidelines Acute myocardial infarction ST elevation Emergency medical care |
| url | https://hrcak.srce.hr/file/443530 |
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