급성 흉통 환자에 대한 권역 내 이송 체계 구축
Establishing a Practical Loco-Regional Transfer System for Patients with Acute Cardiac Chest Pain
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초록
Cardiac disease is the second leading cause of mortality in Korea and the main cardiac disease is acute myocardial infarction (MI). Timely primary coronary intervention is the main treatment for acute MI and delay from symptom onset to intervention is the most important determinant of the prognosis and incidence of ischemic cardiomyopathy after acute MI. Treatment delay includes patient delay and system delay. The latter includes transfer and in-hospital delays. In-hospital delay improved greatly after introducing the critical pathway to Korea. However, there is still much room to improve patient and transfer delay.
Abstract
Cardiac disease is the second leading cause of mortality in Korea and the main cardiac disease is acute myocardial infarction (MI). Timely primary coronary intervention is the main treatment for acute MI and delay from symptom onset to intervention is the most important determinant of the prognosis and incidence of ischemic cardiomyopathy after acute MI. Treatment delay includes patient delay and system delay. The latter includes transfer and in-hospital delays. In-hospital delay improved greatly after introducing the critical pathway to Korea. However, there is still much room to improve patient and transfer delay.
참고문헌 (5)
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- Byrne RA, "2023 ESC guidelines for the management of acute coronary syndromes", Eur Heart J, 44, pp.3720~3826 (2023)
- Tern PJW, "Identifying and solving gaps in pre-and in-hospital acute myocardial infarction care in Asia-Pacific countries", Korean Circ J, 53, pp.594~605 (2023)