S.N. Tyts, A.G. Gukov, N.A. Shapovalov, A.I. Nekrasa.Experience of optimization of urgent medical aid in patients with acute coronary syndrome in Lugansk region.

Since 2011 the reform of urgent cardiology aid in Lugansk region was started. Two zones of delivery of patients with acute coronary syndromes were defined: first – distance of 70 km from patient to cath lab, delivery time 120 min, the second – distance over 70 km, delivery time over 120 minutes. During first 9 months of 2012, 119 emergency coronary angiography studies were conducted, in 104 cases mechanical revascularization was performed, including 99 stents implantations. Overall mortality in this group was 0.8 % (1 patient). The time interval from onset of symptoms to primary PCI was: 2 hours – 12 patients, 2–12 hours – 92 patients, 12–24 hours – 15 patients. During first 9 months of 2012, the coverage of reperfusion therapy in patients with STEMI increased to 46 %, mortality due to the acute myocardial infarction in clinics decreased from 10.2 to 8.1 %.

Full article