Organization and methodical approaches for providing emergent medical care for patients with ACS in hospital without transcoronary intervention available
DOI: 10.22138/2500-0918-2016-14-4-117-123
M.S. Ibragimov, P.A. Kozlov, A.I. Milashchenko, A.V. Akimova
Central clinical city hospital number 24, Department of Intensive Care, Yekaterinburg, Russian Federation;
Ural State Medical University, Yekaterinburg, Russian Federation
Abstract. In terms of emergency cardiology of the necessary operational forecast of the patient's condition, defining the tactical objectives of the control treatment. The effectiveness of treatment of acute coronary syndrome is closely associated with mortality and re-hospitalization. Currently, one of the main principles in treatment of acute coronary syndrome is personalized therapy. We retrospectively analyzed 4324 medical histories of patients hospitalized with ACS in hospitals without PCI facilities, treated and subsequently admitted to the other hospitals with PCI facilities. The article reviews the organization of providing emergent medical care for patients with acute coronary syndrome in hospital where transcoronary intervention is not available. We described the algorithms of management for patients with acute coronary syndrome with and without ST elevation. Timely diagnostics and intensive treatment of ACS significantly improved shot-term and long-term outcomes.
Keywords: acute coronary syndrome, transcoronary intervention, algorithms of emergency help
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Authors
Ibragimov Mubariz S.
PhD, Assistant Professor of Hospital Therapy Department
ibragimovmd@yandex.ru
Kozlov Pavel A.
Postgraduate of Hospital Therapy Department,
axe_p@mail.ru
Milashchenko Angeliya I.
The second-year resident of Hospital Therapy Department
milashchenko-ai@yandex.ru
Akimova Anna V.
PhD, Assistant Professor of Hospital Therapy Department
anna_v_akimova@mail.ru
Ural State Medical University
Russian Federation, 620219, Yekaterinburg, 3 Repina str.
Received 04.07.2016
For citation:
Milashchenko A.I., Ibragimov M.S., Andreev A.N., Kozlov P.A. Organizacionnye metodicheskie podhody k okazaniju neotlozhnoj medicinskoj pomoshhi bol'nym s ostrym koronarnym sindromom v uslovijah lechebno-profilakticheskih uchrezhdenij, ne imejushhih chreskoronarnoe vmeshatel'stvo [Organization and methodical approaches for providing emergent medical care for patients with acs in hospital without transcoronary intervention available] Vestn. Ural. Med. Akad. Nauki. – Journal of Ural Medical Academic Science. 2016, no. 4, pp. 117–123. DOI: 10.22138/2500-0918-2016-14-4-117-123 [In Russ.]
