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Erschienen in: Der Kardiologe 1/2014

01.02.2014 | Empfehlungen

Empfehlungen zur Organisation von Herzinfarktnetzwerken

verfasst von: S.K.G. Maier, H. Thiele, R. Zahn, P. Sefrin, C.K. Naber, K.H. Scholz, W. von Scheidt

Erschienen in: Die Kardiologie | Ausgabe 1/2014

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Zusammenfassung

Jährlich erleiden in Deutschland ca. 205.000 Menschen einen akuten Myokardinfarkt. Kernelement der optimalen Behandlung des ST-Hebungsmyokardinfarktes (STEMI) stellt die rasche und vollständige Reperfusion der verschlossenen Koronararterie dar. Zum Erreichen dieses Zieles ist die unverzügliche primäre perkutane Koronarintervention (pPCI) einer Thrombolysetherapie überlegen. Zur Verbesserung der Versorgung von STEMI-Patienten fordern die ESC-Leitlinien nachdrücklich zur Schaffung regionaler Herzinfarktnetzwerke auf, um die Zeit zwischen Symptombeginn und effektiver Reperfusion der verschlossenen Koronararterie kürzestmöglich zu halten. Die genaue Strukturierung von Herzinfarktnetzwerken bedarf vielfältiger formaler, logistischer und inhaltlicher Überlegungen. Derartige „Ausführungshinweise“ sind nicht Teil der Leitlinien und liegen in standardisierter Form bislang nicht vor. Das Positionspapier möchte, basierend auf der verfügbaren Datenlage und den Leitlinien, Empfehlungen zur Implementierung eines optimalen Herzinfarktnetzwerkes geben.
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Literatur
1.
Zurück zum Zitat Löwel H, Meisinger C, Heier M et al (2006) Herzinfarkt und koronare Sterblichkeit in Süddeutschland. Dtsch Ärztebl 103:A616–A622 Löwel H, Meisinger C, Heier M et al (2006) Herzinfarkt und koronare Sterblichkeit in Süddeutschland. Dtsch Ärztebl 103:A616–A622
2.
Zurück zum Zitat Sefrin P, Lafontaine B (2004) Prehospital treatment of the acute coronary syndrome in the emergency medical services in Bavaria. Dtsch Med Wochenschr 129(39):2025–2031PubMedCrossRef Sefrin P, Lafontaine B (2004) Prehospital treatment of the acute coronary syndrome in the emergency medical services in Bavaria. Dtsch Med Wochenschr 129(39):2025–2031PubMedCrossRef
3.
Zurück zum Zitat Steg PG et al (2012) ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). Eur Heart J 33(20):2569–2619PubMedCrossRef Steg PG et al (2012) ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology (ESC). Eur Heart J 33(20):2569–2619PubMedCrossRef
4.
Zurück zum Zitat Boersma E (2006) Does time matter? A pooled analysis of randomized clinical trials comparing primary percutaneous coronary intervention and in-hospital fibrinolysis in acute myocardial infarction patients. Eur Heart J 27:779–788PubMedCrossRef Boersma E (2006) Does time matter? A pooled analysis of randomized clinical trials comparing primary percutaneous coronary intervention and in-hospital fibrinolysis in acute myocardial infarction patients. Eur Heart J 27:779–788PubMedCrossRef
5.
Zurück zum Zitat Eagle KA et al (2008) Trends in acute reperfusion therapy for ST-segment elevation myocardial infarction from 1999 to 2006: we are getting better but we have got a long way to go. Eur Heart J 29(5):609–617PubMedCrossRef Eagle KA et al (2008) Trends in acute reperfusion therapy for ST-segment elevation myocardial infarction from 1999 to 2006: we are getting better but we have got a long way to go. Eur Heart J 29(5):609–617PubMedCrossRef
6.
Zurück zum Zitat Keeley EC, Boura JA, Grines CL (2003) Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials. Lancet 361:13–20PubMedCrossRef Keeley EC, Boura JA, Grines CL (2003) Primary angioplasty versus intravenous thrombolytic therapy for acute myocardial infarction: a quantitative review of 23 randomised trials. Lancet 361:13–20PubMedCrossRef
7.
Zurück zum Zitat Nallamothu B et al (2007) Relationship of treatment delays and mortality in patients undergoing fibrinolysis and primary percutaneous coronary intervention. the global registry of acute coronary events. Heart 93(12):1552–1555PubMedCrossRef Nallamothu B et al (2007) Relationship of treatment delays and mortality in patients undergoing fibrinolysis and primary percutaneous coronary intervention. the global registry of acute coronary events. Heart 93(12):1552–1555PubMedCrossRef
8.
Zurück zum Zitat Stenestrand U, Lindbäck J, Wallentin L (2006) Long-term outcome of primary percutaneous coronary intervention vs prehospital and in-hospital thrombolysis for patients with ST-elevation myocardial infarction. JAMA 296:1749–1756PubMedCrossRef Stenestrand U, Lindbäck J, Wallentin L (2006) Long-term outcome of primary percutaneous coronary intervention vs prehospital and in-hospital thrombolysis for patients with ST-elevation myocardial infarction. JAMA 296:1749–1756PubMedCrossRef
9.
Zurück zum Zitat Tarantini G et al (2010) Acceptable reperfusion delay to prefer primary angioplasty over fibrin-specific thrombolytic therapy is affected (mainly) by the patient’s mortality risk: 1 h does not fit all. Eur Heart J 31(6):676–683PubMedCrossRef Tarantini G et al (2010) Acceptable reperfusion delay to prefer primary angioplasty over fibrin-specific thrombolytic therapy is affected (mainly) by the patient’s mortality risk: 1 h does not fit all. Eur Heart J 31(6):676–683PubMedCrossRef
10.
Zurück zum Zitat Thilo C, Blüthgen A, von Scheidt W (2013) Efficacy and limitations of a STEMI network: 3 years of experience within the myocardial infarction network of the region of Augsburg – HERA. Clin Res Cardiol 102(12): 905–914PubMedCrossRef Thilo C, Blüthgen A, von Scheidt W (2013) Efficacy and limitations of a STEMI network: 3 years of experience within the myocardial infarction network of the region of Augsburg – HERA. Clin Res Cardiol 102(12): 905–914PubMedCrossRef
11.
Zurück zum Zitat Van de Werf F et al (2008) Management of acute myocardial infarction in patients presenting with persistent ST-segment elevation: the task force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology. Eur Heart J 29(23):2909–2945CrossRef Van de Werf F et al (2008) Management of acute myocardial infarction in patients presenting with persistent ST-segment elevation: the task force on the management of ST-segment elevation acute myocardial infarction of the European Society of Cardiology. Eur Heart J 29(23):2909–2945CrossRef
12.
Zurück zum Zitat Terkelsen CJ et al (2009) Primary PCI as the preferred reperfusion therapy in STEMI: it is a matter of time. Heart 95(5):362–369PubMedCrossRef Terkelsen CJ et al (2009) Primary PCI as the preferred reperfusion therapy in STEMI: it is a matter of time. Heart 95(5):362–369PubMedCrossRef
13.
Zurück zum Zitat Scheidt W von, Thilo C (2011) As time goes by? The fallacy of thrombolysis in STEMI networks. Clin Res Cardiol 100(10):867–877CrossRef Scheidt W von, Thilo C (2011) As time goes by? The fallacy of thrombolysis in STEMI networks. Clin Res Cardiol 100(10):867–877CrossRef
14.
Zurück zum Zitat Widimsky P (2010) Primary angioplasty vs. thrombolysis: the end of the controversy? Eur Heart J 31(6):634–636PubMedCrossRef Widimsky P (2010) Primary angioplasty vs. thrombolysis: the end of the controversy? Eur Heart J 31(6):634–636PubMedCrossRef
15.
Zurück zum Zitat Widimsky P et al (2010) Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries. Eur Heart J 31(8):943–957PubMedCrossRef Widimsky P et al (2010) Reperfusion therapy for ST elevation acute myocardial infarction in Europe: description of the current situation in 30 countries. Eur Heart J 31(8):943–957PubMedCrossRef
16.
Zurück zum Zitat Kuch B et al (2009) Extent of the decrease of 28-day case fatality of hospitalized patients with acute myocardial infarction over 22 years: epidemiological versus clinical view: the MONICA/KORA Augsburg infarction registry. Circ Cardiovasc Qual Outcomes 2(4):313–319PubMedCrossRef Kuch B et al (2009) Extent of the decrease of 28-day case fatality of hospitalized patients with acute myocardial infarction over 22 years: epidemiological versus clinical view: the MONICA/KORA Augsburg infarction registry. Circ Cardiovasc Qual Outcomes 2(4):313–319PubMedCrossRef
17.
Zurück zum Zitat Bruder O et al (2008) Prognostic impact of contrast-enhanced CMR early after acute ST segment elevation myocardial infarction (STEMI) in a regional STEMI network: results of the „Herzinfarktverbund Essen“. Herz 33(2):136–142PubMedCrossRef Bruder O et al (2008) Prognostic impact of contrast-enhanced CMR early after acute ST segment elevation myocardial infarction (STEMI) in a regional STEMI network: results of the „Herzinfarktverbund Essen“. Herz 33(2):136–142PubMedCrossRef
18.
Zurück zum Zitat Hailer B et al (2011) Gender-related differences in patients with ST-elevation myocardial infarction: results from the registry study of the ST elevation myocardial infarction network Essen. Clin Cardiol 34(5):294–301PubMedCrossRef Hailer B et al (2011) Gender-related differences in patients with ST-elevation myocardial infarction: results from the registry study of the ST elevation myocardial infarction network Essen. Clin Cardiol 34(5):294–301PubMedCrossRef
20.
Zurück zum Zitat Schneider H et al (2004) Guideline-conforming interventional treatment of acute ST-segment elevation myocardial infarction in rural areas using network collaboration. Dtsch Med Wochenschr 129(41):2162–2166PubMedCrossRef Schneider H et al (2004) Guideline-conforming interventional treatment of acute ST-segment elevation myocardial infarction in rural areas using network collaboration. Dtsch Med Wochenschr 129(41):2162–2166PubMedCrossRef
21.
Zurück zum Zitat Schneider H et al (2005) Interventional therapy of acute ST-elevation myocardial infarction in a regional network. Z Kardiol 94(Suppl 4):IV/85–IV/89PubMedCrossRef Schneider H et al (2005) Interventional therapy of acute ST-elevation myocardial infarction in a regional network. Z Kardiol 94(Suppl 4):IV/85–IV/89PubMedCrossRef
22.
Zurück zum Zitat Schneider H et al (2007) Treatment of acute ST elevation myocardial infarction in a regional network („Drip & Ship Network Rostock“). Herz 32(8):635–640PubMedCrossRef Schneider H et al (2007) Treatment of acute ST elevation myocardial infarction in a regional network („Drip & Ship Network Rostock“). Herz 32(8):635–640PubMedCrossRef
23.
Zurück zum Zitat Sefrin P, Maier SK (2011) Arbeitsgemeinschaft der Bayerischen Herzinfarktnetzwerke: Präklinische Standards bei der Herzinfarktbehandlung. Notarzt 27:101–104CrossRef Sefrin P, Maier SK (2011) Arbeitsgemeinschaft der Bayerischen Herzinfarktnetzwerke: Präklinische Standards bei der Herzinfarktbehandlung. Notarzt 27:101–104CrossRef
24.
Zurück zum Zitat Von Scheidt W, Thilo C, Maier SK (2012) Myokardinfarktnetzwerke. Notfall Rettungsmed 15:305–312 Von Scheidt W, Thilo C, Maier SK (2012) Myokardinfarktnetzwerke. Notfall Rettungsmed 15:305–312
25.
Zurück zum Zitat Scholz KH et al (2008) Optimizing systems of care for patients with acute myocardial infarction. STEMI networks, telemetry ECG, and standardized quality improvement with systematic data feedback. Herz 33(2):102–109PubMedCrossRef Scholz KH et al (2008) Optimizing systems of care for patients with acute myocardial infarction. STEMI networks, telemetry ECG, and standardized quality improvement with systematic data feedback. Herz 33(2):102–109PubMedCrossRef
26.
Zurück zum Zitat Maier SKG, Scheidt W von (2012) Konsensus der Arbeitsgemeinschaft der Bayerischen Herzinfarktnetzwerke. www.herzinfarkt-netzwerke.de Maier SKG, Scheidt W von (2012) Konsensus der Arbeitsgemeinschaft der Bayerischen Herzinfarktnetzwerke. www.herzinfarkt-netzwerke.de
27.
Zurück zum Zitat Hamm CW et al (2011) ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: the task force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 32(23):2999–3054PubMedCrossRef Hamm CW et al (2011) ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: the task force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 32(23):2999–3054PubMedCrossRef
28.
Zurück zum Zitat Antman EM et al (2008) 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association task force on practice guidelines: developed in collaboration with the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 writing group to review new evidence and update the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction, writing on behalf of the 2004 writing committee. Circulation 117(2):296–329PubMedCrossRef Antman EM et al (2008) 2007 focused update of the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association task force on practice guidelines: developed in collaboration with the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 writing group to review new evidence and update the ACC/AHA 2004 guidelines for the management of patients with ST-elevation myocardial infarction, writing on behalf of the 2004 writing committee. Circulation 117(2):296–329PubMedCrossRef
29.
Zurück zum Zitat Zahn R et al (1999) Primary angioplasty in acute myocardial infarction: differences between referred patients and those treated in hospitals with on-site facilities? J Invasive Cardiol 11(4):213–219PubMed Zahn R et al (1999) Primary angioplasty in acute myocardial infarction: differences between referred patients and those treated in hospitals with on-site facilities? J Invasive Cardiol 11(4):213–219PubMed
30.
Zurück zum Zitat Zahn R et al (1999) Spectrum of reperfusion strategies and factors influencing the use of primary angioplasty in patients with acute myocardial infarction admitted to hospitals with the facilities to perform primary angioplasty. Maximal Individual Therapy in Acute Myocardial Infarction (MITRA) Study Group. Heart 82(4):420–425PubMed Zahn R et al (1999) Spectrum of reperfusion strategies and factors influencing the use of primary angioplasty in patients with acute myocardial infarction admitted to hospitals with the facilities to perform primary angioplasty. Maximal Individual Therapy in Acute Myocardial Infarction (MITRA) Study Group. Heart 82(4):420–425PubMed
31.
Zurück zum Zitat Gottwik M et al (2001) Differences in treatment and outcome of patients with acute myocardial infarction admitted to hospitals with compared to without departments of cardiology. Results from the pooled data of the Maximal Individual Therapy in Acute Myocardial Infarction (MITRA 1 + 2) Registries and the Myocardial Infarction Registry (MIR). Eur Heart J 22(19):1794–1801PubMedCrossRef Gottwik M et al (2001) Differences in treatment and outcome of patients with acute myocardial infarction admitted to hospitals with compared to without departments of cardiology. Results from the pooled data of the Maximal Individual Therapy in Acute Myocardial Infarction (MITRA 1 + 2) Registries and the Myocardial Infarction Registry (MIR). Eur Heart J 22(19):1794–1801PubMedCrossRef
32.
Zurück zum Zitat Zahn R et al (2009) Reperfusion therapy for acute ST-elevation and non ST-elevation myocardial infarction: what can be achieved in daily clinical practice in unselected patients at an interventional center? Acute Card Care 11:92–98PubMedCrossRef Zahn R et al (2009) Reperfusion therapy for acute ST-elevation and non ST-elevation myocardial infarction: what can be achieved in daily clinical practice in unselected patients at an interventional center? Acute Card Care 11:92–98PubMedCrossRef
33.
Zurück zum Zitat Bauer T et al (2009) Efficacy of a 24-h primary percutaneous coronary intervention service on outcome in patients with ST elevation myocardial infarction in clinical practice. Clin Res Cardiol 98(3):171–178PubMedCrossRef Bauer T et al (2009) Efficacy of a 24-h primary percutaneous coronary intervention service on outcome in patients with ST elevation myocardial infarction in clinical practice. Clin Res Cardiol 98(3):171–178PubMedCrossRef
34.
Zurück zum Zitat Bonzel T et al (2008) Leitlinie Interventionelle Koronartherapie. Clin Res Cardiol 97:513–547PubMedCrossRef Bonzel T et al (2008) Leitlinie Interventionelle Koronartherapie. Clin Res Cardiol 97:513–547PubMedCrossRef
35.
Zurück zum Zitat Allaqaband S et al (2010) Impact of 24-hr in-hospital interventional cardiology team on timeliness of reperfusion for ST-segment elevation myocardial infarction. Catheter Cardiovasc Interv 75(7):1015–1023PubMed Allaqaband S et al (2010) Impact of 24-hr in-hospital interventional cardiology team on timeliness of reperfusion for ST-segment elevation myocardial infarction. Catheter Cardiovasc Interv 75(7):1015–1023PubMed
36.
Zurück zum Zitat Scholz KH et al (2012) Reduction in treatment times through formalized data feedback: results from a prospective multicenter study of ST-segment elevation myocardial infarction. JACC Cardiovasc Interv 5(8):848–857PubMedCrossRef Scholz KH et al (2012) Reduction in treatment times through formalized data feedback: results from a prospective multicenter study of ST-segment elevation myocardial infarction. JACC Cardiovasc Interv 5(8):848–857PubMedCrossRef
37.
Zurück zum Zitat Brown JP et al (2008) Effect of prehospital 12-lead electrocardiogram on activation of the cardiac catheterization laboratory and door-to-balloon time in ST-segment elevation acute myocardial infarction. Am J Cardiol 101(2):158–161PubMedCrossRef Brown JP et al (2008) Effect of prehospital 12-lead electrocardiogram on activation of the cardiac catheterization laboratory and door-to-balloon time in ST-segment elevation acute myocardial infarction. Am J Cardiol 101(2):158–161PubMedCrossRef
38.
Zurück zum Zitat Dhruva VN et al (2007) ST-Segment Analysis Using Wireless Technology in Acute Myocardial Infarction (STAT-MI) trial. J Am Coll Cardiol 50(6):509–513PubMedCrossRef Dhruva VN et al (2007) ST-Segment Analysis Using Wireless Technology in Acute Myocardial Infarction (STAT-MI) trial. J Am Coll Cardiol 50(6):509–513PubMedCrossRef
39.
Zurück zum Zitat Rao A et al (2010) Impact of the prehospital ECG on door-to-balloon time in ST elevation myocardial infarction. Catheter Cardiovasc Interv 75(2):174–178PubMedCrossRef Rao A et al (2010) Impact of the prehospital ECG on door-to-balloon time in ST elevation myocardial infarction. Catheter Cardiovasc Interv 75(2):174–178PubMedCrossRef
40.
Zurück zum Zitat Scholz KH et al (2011) Umgehung der Notaufnahme führt zu erheblicher Verkürzung der Revaskularisationszeiten und besserer Prognose bei STEMI-Patienten – Ergebnisse aus dem FITT-STEMI-Gesamtprojekt. Clin Res Cardiol 100, Suppl 1, April 2011, P1643 Scholz KH et al (2011) Umgehung der Notaufnahme führt zu erheblicher Verkürzung der Revaskularisationszeiten und besserer Prognose bei STEMI-Patienten – Ergebnisse aus dem FITT-STEMI-Gesamtprojekt. Clin Res Cardiol 100, Suppl 1, April 2011, P1643
41.
Zurück zum Zitat Garvey JL et al (2012) Rates of cardiac catheterization cancelation for ST-segment elevation myocardial infarction after activation by emergency medical services or emergency physicians. Circulation 125(2):308–313PubMedCrossRef Garvey JL et al (2012) Rates of cardiac catheterization cancelation for ST-segment elevation myocardial infarction after activation by emergency medical services or emergency physicians. Circulation 125(2):308–313PubMedCrossRef
42.
Zurück zum Zitat Alexander KP et al (2007) Acute coronary care in the elderly, part II. ST-segment elevation myocardial infarction. Circulation 115:2570–2589PubMedCrossRef Alexander KP et al (2007) Acute coronary care in the elderly, part II. ST-segment elevation myocardial infarction. Circulation 115:2570–2589PubMedCrossRef
43.
Zurück zum Zitat Larson DM et al (2012) Safety and efficacy of a pharmaco-invasive reperfusion strategy in rural ST-elevation myocardial infarction patients with expected delays due to long-distance transfers. Eur Heart J 33(10):1232–1240PubMedCrossRef Larson DM et al (2012) Safety and efficacy of a pharmaco-invasive reperfusion strategy in rural ST-elevation myocardial infarction patients with expected delays due to long-distance transfers. Eur Heart J 33(10):1232–1240PubMedCrossRef
44.
Zurück zum Zitat Wang TY et al (2011) Association of door-in to door-out time with reperfusion delays and outcomes among patients transferred for primary percutaneous coronary intervention. JAMA 305(24):2540–2547PubMedCrossRef Wang TY et al (2011) Association of door-in to door-out time with reperfusion delays and outcomes among patients transferred for primary percutaneous coronary intervention. JAMA 305(24):2540–2547PubMedCrossRef
45.
Zurück zum Zitat Thiele H (2010) Door to balloon times in acute myocardial infarction. http://www.uni-leipzig.de/~kard/d2bt/. (Zugegriffen: 02. Feb. 2012) Thiele H (2010) Door to balloon times in acute myocardial infarction. http://​www.​uni-leipzig.​de/​~kard/​d2bt/​.​ (Zugegriffen: 02. Feb. 2012)
46.
Zurück zum Zitat Scholz KH et al (2008) Contact-to-balloon time and door-to-balloon time after initiation of a formalized data feedback in patients with acute ST-elevation myocardial infarction. Am J Cardiol 101(1):46–52PubMedCrossRef Scholz KH et al (2008) Contact-to-balloon time and door-to-balloon time after initiation of a formalized data feedback in patients with acute ST-elevation myocardial infarction. Am J Cardiol 101(1):46–52PubMedCrossRef
47.
Zurück zum Zitat Rustige J et al (1997) The 60 min myocardial infarction project. Treatment and clinical outcome of patients with acute myocardial infarction in Germany. Eur Heart J 18(9):1438–1446PubMedCrossRef Rustige J et al (1997) The 60 min myocardial infarction project. Treatment and clinical outcome of patients with acute myocardial infarction in Germany. Eur Heart J 18(9):1438–1446PubMedCrossRef
48.
Zurück zum Zitat Gitt AK et al (2010) The role of cardiac registries in evidence-based medicine. Eur Heart J 31(5):525–529PubMedCrossRef Gitt AK et al (2010) The role of cardiac registries in evidence-based medicine. Eur Heart J 31(5):525–529PubMedCrossRef
49.
Zurück zum Zitat Bradley EH et al (2006) Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med 355(22):2208–2220CrossRef Bradley EH et al (2006) Strategies for reducing the door-to-balloon time in acute myocardial infarction. N Engl J Med 355(22):2208–2220CrossRef
51.
Zurück zum Zitat Boersma E et al (1996) Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 348:771–775PubMedCrossRef Boersma E et al (1996) Early thrombolytic treatment in acute myocardial infarction: reappraisal of the golden hour. Lancet 348:771–775PubMedCrossRef
52.
Zurück zum Zitat Wijns W et al (2010) Guidelines on myocardial revascularization: the task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 31:2501–2555PubMedCrossRef Wijns W et al (2010) Guidelines on myocardial revascularization: the task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 31:2501–2555PubMedCrossRef
53.
Zurück zum Zitat Ting HH et al (2007) Regional systems of care to optimize timeliness of reperfusion therapy for ST-elevation myocardial infarction. Circulation 116:729–736PubMedCrossRef Ting HH et al (2007) Regional systems of care to optimize timeliness of reperfusion therapy for ST-elevation myocardial infarction. Circulation 116:729–736PubMedCrossRef
54.
Zurück zum Zitat Zahn R et al (2005) In-hospital time to treatment of patients with acute ST elevation myocardial infarction treated with primary angioplasty: determinants and outcome. Results from the registry of percutaneous coronary interventions in acute myocardial infarction of the Arbeitsgemeinschaft Leitender Kardiologischer Krankenhausarzte. Heart 91(8):1041–1046PubMedCrossRef Zahn R et al (2005) In-hospital time to treatment of patients with acute ST elevation myocardial infarction treated with primary angioplasty: determinants and outcome. Results from the registry of percutaneous coronary interventions in acute myocardial infarction of the Arbeitsgemeinschaft Leitender Kardiologischer Krankenhausarzte. Heart 91(8):1041–1046PubMedCrossRef
55.
Zurück zum Zitat Brodie BR et al (2010) When is door-to-balloon time critical? Analysis from the HORIZONS-AMI (Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction) and CADILLAC (Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications) trials. J Am Coll Cardiol 56:407–413PubMedCrossRef Brodie BR et al (2010) When is door-to-balloon time critical? Analysis from the HORIZONS-AMI (Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction) and CADILLAC (Controlled Abciximab and Device Investigation to Lower Late Angioplasty Complications) trials. J Am Coll Cardiol 56:407–413PubMedCrossRef
56.
Zurück zum Zitat Brodie BR et al (2002) Effect of treatment delay on outcomes in patients with acute myocardial infarction transferred from community hospitals for primary percutaneous coronary intervention. Am J Cardiol 89:1243–1247PubMedCrossRef Brodie BR et al (2002) Effect of treatment delay on outcomes in patients with acute myocardial infarction transferred from community hospitals for primary percutaneous coronary intervention. Am J Cardiol 89:1243–1247PubMedCrossRef
Metadaten
Titel
Empfehlungen zur Organisation von Herzinfarktnetzwerken
verfasst von
S.K.G. Maier
H. Thiele
R. Zahn
P. Sefrin
C.K. Naber
K.H. Scholz
W. von Scheidt
Publikationsdatum
01.02.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Die Kardiologie / Ausgabe 1/2014
Print ISSN: 2731-7129
Elektronische ISSN: 2731-7137
DOI
https://doi.org/10.1007/s12181-013-0540-1

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