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Reducing Door-to-Balloon Times in Acute Myocardial Infarction

机译:减少急性心肌梗死的上气球时间

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摘要

Cardiovascular disease is the single leading cause of death in America. According to the American Heart Association (AHA), over 13 million people in the United States are living with some form of cardiovascular disease. Over 1.2 million new and recurrent coronary attacks occur annually, and almost 500,000 people die of coronary heart disease per year. Treatment of acute myocardial infarction (AMI) has rapidly evolved over the past 5 years. Treatment guidelines by the AHA and American College of Cardiology (ACC) are widely published. Acute myocardial infarction treatment core measures mandated by the Centers for Medicare and Medicaid Services (CMS) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) have been established based on strong research-driven evidence. One of the core measures for the treatment of AMI is percutaneous coronary intervention (PCI) completion within 120 minutes of arrival for patients experiencing ST-elevation myocardial infarction (STEMI). This is known widely as "door-to-balloon" time. This treatment is also referred to as "primary PCI." In July 2006, in line with published treatment guidelines, CMS reduced the publicly reported treatment measure from 120 minutes to 90 minutes.
机译:心血管疾病是美国死亡的唯一主要原因。根据美国心脏协会(AHA)的统计,美国有1300万人患有某种形式的心血管疾病。每年有120万以上的新发和复发性冠心病发作,每年约有500,000人死于冠心病。在过去的5年中,急性心肌梗塞(AMI)的治疗已迅速发展。 AHA和美国心脏病学会(ACC)的治疗指南已广泛发布。基于强有力的研究驱动的证据,医疗保险和医疗补助服务中心(CMS)和医疗组织认可联合委员会(JCAHO)制定了急性心肌梗塞治疗核心措施。治疗AMI的核心措施之一是,对于患有ST抬高型心肌梗塞(STEMI)的患者,在抵达后120分钟之内完成经皮冠状动脉介入治疗(PCI)。这被广泛称为“气球上门”时间。这种处理也称为“主PCI”。在2006年7月,根据已发布的治疗指南,CMS将公开报告的治疗措施从120分钟减少到90分钟。

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