Appropriateness of the Current Guidelines on Reperfusion Treatment for Patients Applying to Our Hospital With St-Segment Elevation Acute Myocardial Infarction

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dc.contributor.authorKaraarslan, Şükrü
dc.contributor.authorAlihanoğlu, Yusuf İzzettin
dc.contributor.authorYıldız, Bekir Serhat
dc.contributor.authorSönmez, Osman
dc.contributor.authorSoylu, Ahmet
dc.contributor.authorBacaksız, Ahmet
dc.contributor.authorAlur, İhsan
dc.contributor.authorÖzdemir, Kurtuluş
dc.contributor.authorDüzenli, Akif
dc.date.accessioned2020-03-26T18:32:36Z
dc.date.available2020-03-26T18:32:36Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: This study investigated the appropriateness of treatment for patients admitted with ST-segment elevation myocardial infarction (STEMI) according to the current guidelines. We also aimed to determine in-patient and out-patient factors affecting optimal re perfusion therapy. Study design: The reperfusion therapy of 176 patients with STEMI was determined. The time period from first contact with a healthcare provider to the time of balloon inflation (door to balloon time), and from the time period of first contact with a healthcare provider to the time of initiation of a thrombolytic (door to needle time) were calculated. Similarly, the time from admission at the emergency service (ES) of our hospital after referral to the moment of balloon inflation (ES to balloon time) and the period from admission to ES at our hospital to the moment of initiation of a thrombolytic (ES to needle time) were calculated. In order to determine the amount of in-hospital delay, the time from ES admission to the call to the cardiology department and the time for the cardiologist to evaluate the patient and transfer time were recorded. Whether the referring physician was a cardiologist and the effect of work hours on the reperfusion period was also recorded. Results: The door to balloon time in the referred patient group was calculated as an average of 228 minutes, while the time for patients directly admitted to ES was calculated as an average of 98 minutes. Patients referred for the mechanical reperfusion period compared to American Heart Association (AHA) guidelines consisted of only 6% of the eligible patients, while according to the European Society of Cardiology (ESC) guidelines 13% of patients were appropriate. Patients who were directly admitted to ES, experienced rates according to AHA guidelines and 73% experienced these rates according to ESC guidelines. We also found no significant effect of working hours or referring physician's specialty (cardiologist or other) on reperfusion time. Conclusion: Compliance rates of reperfusion therapy for patients presenting with STEMI was very low. We realized, when taking into consideration the reasons for delay in terms of both health community and the policy of the country, it is obvious that we have to take strict measures. © 2012 Turkish Society of Cardiology.en_US
dc.identifier.citationKaraarslan, Şükrü., Alihanoğlu, Yusuf. İzzettin., Yıldız, Bekir. Serhat., Sönmez, Osman., Soylu, Ahmet., Bacaksız, Ahmet., Alur, İhsan., Özdemir, Kurtuluş., Düzenli, Akif., (2012). Appropriateness of the Current Guidelines on Reperfusion Treatment for Patients Applying to Our Hospital With St-Segment Elevation Acute Myocardial Infarction. Türk Kardiyoloji Derneği Arşivi, 40(6), 493-498. DOI:10.5543/tkda.2012.68047
dc.identifier.doi10.5543/tkda.2012.68047en_US
dc.identifier.endpage498en_US
dc.identifier.issn1016-5169en_US
dc.identifier.issue6en_US
dc.identifier.pmid23363894en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage493en_US
dc.identifier.urihttps://dx.doi.org/10.5543/tkda.2012.68047
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28731
dc.identifier.volume40en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSoylu, Ahmet.
dc.institutionauthorÖzdemir, Kurtuluş.
dc.institutionauthorDüzenli, Akif.
dc.language.isoenen_US
dc.relation.ispartofTürk Kardiyoloji Derneği Arşivien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAngioplasty, Balloon, Coronaryen_US
dc.subjectMyocardial Infarctionen_US
dc.subjectMyocardial Reperfusionen_US
dc.subjectPractice Guidelines as Topicen_US
dc.subjectThrombolytic Therapyen_US
dc.subjectTime Factorsen_US
dc.titleAppropriateness of the Current Guidelines on Reperfusion Treatment for Patients Applying to Our Hospital With St-Segment Elevation Acute Myocardial Infarctionen_US
dc.typeArticleen_US

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