Propuesta de manejo inicial del infarto de miocardio con elevación del segmento ST no complicado en centros sin capacidad de intervención coronaria percutánea en el Perú

Translated title of the contribution: Proposal for initial management of uncomplicated ST elevation myocardial infarction in centers without percutaneous coronary intervention capacity in Peru

Piero Custodio-Sánchez, David Miranda-Noé, L. Marco López-Rojas, Cynthia Paola Paredes Paucar, W. Germán Yábar Galindo, Paol Rojas De La Cuba, Jorge Orlando Martos Salcedo, Manuel Chacón-Diaz

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

ST-segment elevation myocardial infarction (STEMI) is a clinical entity whose adequate treatment will depend on its prompt recognition, accurate diagnosis, and management in reperfusion networks. The first contact with these patients is generally done in centers without reperfusion capacity, attended by non-cardiologist doctors, and in centers far from hospitals with greater resolution capacity, something that is well known in our country. This manuscript proposes a strategy for the diagnosis and treatment of STEMI in centers without percutaneous coronary intervention capacity of the public health system in Peru, emphasizing not losing sight of electrocardiographic patterns compatible with coronary artery occlusion, adequate fibrinolysis and management of its complications, the treatment of infarction in special populations and highlighting the importance of the pharmacoinvasive strategy as the main form of reperfusion treatment in our country.

Translated title of the contributionProposal for initial management of uncomplicated ST elevation myocardial infarction in centers without percutaneous coronary intervention capacity in Peru
Original languageSpanish
Pages (from-to)164-183
Number of pages20
JournalArchivos Peruanos de Cardiologia y Cirugia Cardiovascular
Volume4
Issue number4
DOIs
StatePublished - 27 Dec 2023
Externally publishedYes

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