PMID- 18344029
OWN - NLM
STAT- MEDLINE
DCOM- 20080715
LR  - 20101118
IS  - 0340-9937 (Print)
IS  - 0340-9937 (Linking)
VI  - 33
IP  - 2
DP  - 2008 Mar
TI  - [Primary Coronary Intervention (PCI) within the myocardial infarction network 
      system in a German city (Essen)].
PG  - 110-4
LID - 10.1007/s00059-008-3098-0 [doi]
AB  - In a German city (Essen, 490,000 people), a new network system for patients with 
      ST elevation myocardial infarction (STEMI) was established in 2004. This included 
      a so-called integrated care model (IV model) by participation of insurance 
      companies. In a cooperative structure between invasive and noninvasive hospitals, 
      general practitioners and cardiologists as well as emergency systems it could be 
      realized, that every patient with STEMI will be treated by primary percutaneous 
      coronary intervention (PCI) as soon as possible according to the current 
      guidelines. The patient characteristics (age, gender, comorbidity, medication) 
      were comparable to other trials and registries. The primary success rate was high 
      (96.4%). The acute in-hospital results demonstrated a low mortality (7.6%). The 
      time periods of delay were comparable to other registries. The symptom-to-balloon 
      time was 239 min, the medical contact-to-balloon time 95 min, the door-to-balloon 
      time 60 min, and the puncture-to-balloon time 18 min (median values). The STEMI 
      network system in Essen demonstrates the possibility of modern therapy in 
      patients with myocardial infarction (primary PCI) in a cooperative modality 
      between all participants in the health-care system.
FAU - Jacksch, Rainer
AU  - Jacksch R
AD  - Katholische Kliniken Essen Nord-West gGmbH, St. Vincenz-Krankenhaus, Essen. 
      r.jacksch@kkenw.de
FAU - Naber, Christoph K
AU  - Naber CK
FAU - Koslowski, Bernd
AU  - Koslowski B
FAU - Budde, Thomas
AU  - Budde T
FAU - Hailer, Birgit
AU  - Hailer B
FAU - Sabin, Georg
AU  - Sabin G
FAU - Haude, Michael
AU  - Haude M
FAU - Wald, Christof
AU  - Wald C
FAU - Erbel, Raimund
AU  - Erbel R
CN  - Herzinfarktverbund Essen
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Akutintervention (Primar-PCI) im Rahmen des Essener Herzinfarktverbundes.
PL  - Germany
TA  - Herz
JT  - Herz
JID - 7801231
RN  - 0 (Platelet Aggregation Inhibitors)
RN  - 0 (Platelet Glycoprotein GPIIb-IIIa Complex)
SB  - IM
MH  - *Angioplasty, Balloon, Coronary
MH  - Combined Modality Therapy
MH  - Cooperative Behavior
MH  - Coronary Angiography
MH  - Delivery of Health Care, Integrated/*organization & administration
MH  - Echocardiography
MH  - Electrocardiography, Ambulatory
MH  - Emergency Medical Services/*organization & administration
MH  - Germany
MH  - Humans
MH  - Myocardial Infarction/diagnosis/mortality/*therapy
MH  - Patient Care Team/*organization & administration
MH  - Platelet Aggregation Inhibitors/therapeutic use
MH  - Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors
MH  - Registries
MH  - Survival Rate
MH  - Time and Motion Studies
MH  - *Urban Health
EDAT- 2008/03/18 09:00
MHDA- 2008/07/17 09:00
CRDT- 2008/03/18 09:00
PHST- 2008/03/18 09:00 [pubmed]
PHST- 2008/07/17 09:00 [medline]
PHST- 2008/03/18 09:00 [entrez]
AID - 10.1007/s00059-008-3098-0 [doi]
PST - ppublish
SO  - Herz. 2008 Mar;33(2):110-4. doi: 10.1007/s00059-008-3098-0.