Survey on the Management of ST-Segment Elevation Myocardial Infarction in Hospitals from Rural Areas of Rio Negro, Argentina

Matías Enrique Calandrelli, Jorge Luis Bocian, María Emilia Saavedra, Juan Pablo Bonifacio, Daniel Abriata, Mariano Trevisan

Abstract


Introduction: information on the management of AMI with a ST-segment elevation (IAMCEST) in rural areas of our countryis scarce.Objective: To know about the availability and use of diagnostic and therapeutic resources in the care of IAMCEST in ruralmedical centers in Río Negro provinceMethods: A structured, open-response, telephone survey was conducted, to on-call doctors from 8 hospitals of the South Line,all between 2 and 4 level (without intensive areas).Results: The IAMCEST patients are attended by generalists, who in half of the cases have no one to consult the ECG. Broadlythey do not have systematic systems or referral networks. Although 75% of the centers have more than 2 hours of derivation,most do not have streptokinase. Half of the referrals are cities that do not have hemodynamics for cases without coverage.Conclusion: The organization and availability of resources in IAMCEST care in rural areas of the province of Río Negro is scarce.

References


http://www.deis.msal.gov.ar/wpcontent/uploads/2018/04/IndicadoresBasicos2017.pdf; accedido el 11/6/19

Gagliardi J, Charask A, Perna E, D’Imperio H, Bono J, Castillo

Costa Y, y cols. Encuesta nacional de infarto agudo de miocardio

con elevación del ST en la República Argentina (ARGEN-IAM-ST).

Rev Argent Cardiol 2016;84:548-57. http://dx.doi.org/10.7775/rac.

es.v84.i6.9508

Tajer C. Para hacer visible el iceberg de la mortalidad por infarto

en la Argentina. Rev Argent Cardiol 2017;85:407-09. http://dx.doi.org/107775/rac.v85.i5.124 66

http://www.ign.gob.ar/NuestrasActividades/Geografia/DatosArgentina/Poblacion2 (consultado el 20/10/2019).

Calandrelli ME, Caminos M, Bocian JL, Saavedra ME, Zgaib ME,

Bazán A y cols. Incidencia anual y letalidad del infarto agudo de

miocardio en la Ciudad de San Carlos de Bariloche. Estudio REGIBAR.Rev Argent Cardiol 2017;85:428-34. http://dx.doi.org/107775/rac.v85.i5.10398

http://www.rionegro.gov.ar/index.php?contID=15965, visitado el

/6/19.

Schiele F, Gale CP, Bonnefoy E, Capuano F, Claeys MJ, Danchin

N, et al. Quality indicators for acute myocardial infarction: A

position paper of the Acute Cardiovascular Care Association.

Eur Heart J Acute Cardiovasc Care 2017;6(1):34-59. https://doi.

org/10.1177/2048872616643053

Silberstein A, de Abreu M, Mariani J, Kyle D, González Villamonte

G, Sarmiento R y cols. Programa en red para la reperfusión del infartocon telemedicina. Rev Argent Cardiol 2015;83:187-93. http://dx.doi.org/10.7775/rac.es.v83.i3.5595

Ferrante D, Spolidoro J, Caruso O, Budassi N, Onetto L, Blanco I.

Mejora en la reperfusión del infarto de miocardio en Argentina. Rev

Argent Salud Pública, 2013;4:31-8.

Carme Borrell, Maica Rodríguez-Sanz. Aspectos metodológicos delas encuestas de salud por entrevista: aportaciones de la Encuesta de Salud de Barcelona 2006. Rev Bras Epidemiol 2008; 11(supl 1): 46-57. https://doi.org/10.1590/S1415790X2008000500005.


Full Text

Refbacks

  • There are currently no refbacks.


Licencia Creative Commons
The documents published in this journal are under the licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.

Revista argentina de cardiología. ISSN en línea 1850-3748. Argentine journal of cardiology (English ed. Online ISSN 2314-2286) Sociedad Argentina de Cardiología. Azcuénaga 980 (C1115AAD),Ciudad Autónoma de Buenos Aires, República Argentina. Tel. (54 11) 4961-6027/8/9 Fax: 4961-6020 www.sac.org.ar revista@sac.org.ar