STEMI: Θρομβόλυση έναντι πρωτογενούς ΔΣΠ€¦ · STEMI: Thrombolytic...
Transcript of STEMI: Θρομβόλυση έναντι πρωτογενούς ΔΣΠ€¦ · STEMI: Thrombolytic...
STEMI: Θρομβόλυση
έναντι πρωτογενούς
ΔΣΠ
STEMI: Thrombolytic
Intervention vs PPCI
Dr ΣΥΜΕΩΝΙΔΗΣ ΔΑΥΙΔ
ΚΑΡΔΙΟΛΟΓΟΣ
STEMI - ECG
STEMI -PATHOPHYSIOLOGY
STEMI -PATHOPHYSIOLOGY
Mechanism of Action
Fibrinolytic Agents
PRIMARY PCI
TIMI 3 to 70 – 90 % of patients
Intracranial Haemorrhage
Preferable in High – Risk patients
• Cardiogenic shock
• Severe CHF
• Haemodynamic or electrical instability
Reperfusion Therapies in Greece
Thrombolysis pts
Rescue PCI 5,80%
Pharmacoinvasive 7,30%
2014 ESC/EACTS Guidelines on myocardial revascularization
<180 MINS
Reperfusion Therapies in Greece
pPCI THR. NOREP. RESCU
E
PHARMA
C.
ACS
2011 31.82% 40.30% 27.88% 7.40% 6.40% 21687
2012 32.54% 34.94% 32.52% 5.80% 7.30% 21750
NOYES
2014 ESC/EACTS Guidelines on myocardial revascularization
ΕΥΧΑΡΙΣΤΩ ΓΙΑ ΤΗΝ
ΠΡΟΣΟΧΗ ΣΑΣ
ΚΑΒΑΛΑ