14 mentality and organisational changes are key to developing primary angioplasty рус
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2. Miodrag C. Ostojic12*, MD, PhD, FESC, FSCAI , FACC; Nevena D. Karanovic3, MD, PhD 1. , , (Serbian Academy of Sciences and Arts, Belgrade, Serbia); 2. , , , (School of Medicine, University of Belgrade, Belgrade, Serbia); 3. , , , (Graduate School for Business Studies, Megatrend University, Belgrade, Serbia)* : , , , (School of Medicine, University of Belgrade, 8 dr Subotia Str., RS-11000 Belgrade, Serbia). E-mail:[email protected] : (mentality), (organisationalchanges), (primary percutaneouscoronary intervention), Stent for Life (Stent for Life Initiative), ST (ST-segment elevation myocardial infarction) Stent for Life (SFL), 31 2009 ., , 2008 . 48% ST (ST) 19% 33% - () , . , 2009 . . , (Health Insurance Fund (HIF)), - (2005), - (Ministry of Health (MOH)). - . - ( 7,5% 2009 . 34,2% 2010 2011 .). , , (647 2006 ., 1248 2007 ., 1794 2008 ., 2468 2009 ., 3216 2010 . 3498 2011 .), , 120 . ( ) (38%). , 30 , , , , () ST (ST), , - (1). , ( 1980- ., ) - 2000- ., , () 2005 ., - , 3. ST. , 48% ST 19% 33% - , (1), , . Stent for Life (SFL), / (EAPCI/ESC) , ST, . -, , 600 2015 ., SFL. 069 INFARKT () () , , ST - ( 7,5% 2009 . 34,2% 2010 2011 .). 13,1% 38,3% 12,7% 34,2% . , , (647 2006 ., 1248 2007 ., 1794 2008 ., 2468 2009 ., 3216 2010 . 3498 2011 .), ST, 120 . (2, 3), 38%. ( 53,3%), , , . , . , (4). SFL ST , , . , 600 2015 ., , / (European Society of Cardiology/EAPCI guidelines). ST . , . , ( , , ) , ST. 2011 . (Guidelines on Ischaemic Heart Disease) . ST: 2007 2011 . (CityEmergency Health Centre) 10 SFL , , 4. / . STREAM COMFORTABLE, , . SFL , ST , - -. ST , -, . , ST, . (. 1) , , , ( ) , . / ST , . (Law on Medical Records) ( ). (Nis) , . , , . , (2009-2010 .), : , , ( ) . (Protocol for Pre-hospitalDiagnosis and Treatment of ACS) 2010 ., 1800 (5). , . 112, , . ( (Institute for Public Health),2009 .) , ., (51,6%) (12,9%) 50% , . , (Implementation of protocol forpre-hospital diagnosis and treatment of ACS), (- ) . . , , , 5. , , . 1. . (Institute for Public Health), , , 48% . . , , , . . , , . , - (). (Serbia for the healthy heart) , . , . , , . , , - , 6. . , ( SFL). , , , , . , , -. (,, , , ), ST. . - , . SFL ST, (491 , 711 ). , , , , , 120. . , , . , . , , , (6). . 1. Widimsky P, Wijns W, Fajadet J, de Belder M, Knot J, Aaberge L, Andrikopoulos G, Baz JA,Betriu A, Claeys M, Danchin N, Djambazov S, Erne P, Hartikainen J, Huber K, Kala P, KlincevaM, Kristensen SD, Ludman P, Ferre JM, Merkely B, Milicic D, Morais J, Noc M, Opolski G,Ostojic M, Radovanovic D, De Servi S, Stenestrand U, Studencan M, Tubaro M, Vasiljevic Z,Weidinger F, Witkowski A, Zeymer U. Reperfusion therapy for ST elevation acute myocardialinfarction in Europe: description of the current situation in 30 countries on behalf of theEuropean Association for Percutaneous Cardiovascular Interventions. Eur Heart J. 2010;31:943-57.2. Van de Werf F, Bax J, Betriu A, Blomstrom-Lundqvist C, Crea F, Falk V, Filippatos G, Fox K,Huber K, Kastrati A, Rosengren A, Steg PG, Tubaro M, Verheugt F, Weidinger F, Weis M,Vahanian A, Camm J, De Caterina R, Dean V, Dickstein K, Filippatos G, Funck- Brentano C,Hellemans I, Kristensen SD, McGregor K, Sechtem U, Silber S, Tendera M, Widimsky P,Zamorano JL, Silber S, Aguirre FV, Al-Attar N, Alegria E, Andreotti F, Benzer W, Breithardt O,Danchin N, Di Mario C, Dudek D, Gulba D, Halvorsen S, Kaufmann P, Kornowski R, Lip GY,Rutten F, ESC Committee for Practice Guidelines (CPG). Management of acute myocardialinfarction in patients presenting with persistent ST-segment elevation: the Task Force on theManagement of ST-Segment Elevation Acute Myocardial Infarction of the European Society ofCardiology. Eur Heart J. 2008;29:2909-45.3. European Association for Percutaneous Cardiovascular Interventions, Wijns W, Kolh P,Danchin N, Di Mario C, Falk V, Folliguet T, Garg S, Huber K, James S, Knuuti J, Lopez-Sendon J, Marco J, Menicanti L, Ostojic M, Piepoli MF, Pirlet C, Pomar JL, Reifart N, RibichiniFL, Schalij MJ, Sergeant P, Serruys PW, Silber S, Sousa Uva M, Taggart D; ESC Committeefor Practice Guidelines, Vahanian A, Auricchio A, Bax J, Ceconi C, Dean V, Filippatos G,Funck-Brentano C, Hobbs R, Kearney P, McDonagh T, Popescu BA, Reiner Z, Sechtem U,Sirnes PA, Tendera M, Vardas PE, Widimsky P; EACTS Clinical Guidelines Committee, Kolh P,Alfieri O, Dunning J, Elia S, Kappetein P, Lockowandt U, Sarris G, Vouhe P, Kearney P, vonSegesser L, Agewall S, Aladashvili A, Alexopoulos D, Antunes MJ, Atalar E, Brutel de la 7. 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Ostojic M, Terzic B, Jancev M, Rajkovic T, Nedeljkovic I, Nicic B. Protocol for prehospitaldiagnosis and management of acute coronary syndrome. School of Medicine, University ofBelgrade, 2010. ISBN 978-86-7117-271-4.6. Cardiac Care Network of Ontario (CCN). Primary Percutanous Coronary Intervention.Optimizing Access to Primary PCI for ST Elevation Myocardial Infarction. Ontario. Final Report2010.
