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From 2010, Romanian patients diagnosed with STEMI can benet from the primary PCI through a national program, according to
the Stent for Life ESC program.
Purpose: Evaluate the importance of helicopter transport of
patients with STEMI in a region with a decit of emergency specialists and only one Interventional Cardiology Centre.
Methods: Retrospective study of the interventions by helicopter for patients with STEMI in the North-East Region of
Romania between March 15, 2011 and March 15, 2013. MY 8
helicopter/Eurocopter 135 was used, with intensive care medical
equipment, 2 pilots, 1 doctor and 1 nurse.
Results: The study includes 71 patients that needed medical
intervention and transportation to hospital via helicopter. The decisions to send the helicopter were taken on medical criteria STEMI
diagnostic, the transfer time to PCI and the availability of the terrestrial emergency crew. The average distance to the site, measured
by land, was 162 km, (34250 km). The average time of transport
by air was 39.3 14.6 min compared to 108.7 47.3 min estimated
by land (p > 0.01) with an average time since the chest pain onset
6.32 4.7 h. 66.2% were males, aged between 25 and 85 years old.
Three patients suffered cardiopulmonary arrest during transportation, 2 were pronounced dead after receiving CPR. During transfer
Aspirin and Clopidogrel was administrated in 69.01% cases, Heparin 28.16% cases, thrombolytics in 7.04% (5 patients). 4.22% of the
patients needed oro-tracheal intubation and mechanical ventilation due to cardiogenic shock. In this period, the mortality rate in
patients with STEMI decreased from 13.4% to 8.19% all over Romania and to 7.9% in our region.
Conclusion: The helicopter is a very important means of transportation for patients living in either far or inaccessible by land
areas, reducing the door-to-balloon times in patients with STEMI.
http://dx.doi.org/10.1016/j.resuscitation.2013.08.039
AP008
Improvement of myocardinal infarction
assistance times when calling an EMS
Francesc Carmona , Josep M. Soto-Ejarque,
Gilberto Alonso, ngels Mora, Marta Trayner,
Xavier Jimnez
Sistema dEmergncies Mdiques, Catalonia, Spain
Purpose: To analyze if out-of-hospital times of assistance to
patients with acute myocardial infarction (AMI) improve when an
EMS is called instead of turned to a primary care center.
Primary care
median (IQR)
EMS median
(IQR)
p-value
60 (29120)
6 (412)
125 (85203.75)
180(135260)
54 (38.590.5)
45 (2480.5)
5 (29)
90(60126.25)
130 (94185)
43.5 (2769)
<0.001
<0.001
0.004
<0.001
0.022
99 (74135)
72 (5498)
<0.001
Aim: To explore the role of HIF1A and AGER gene polymorphisms in the risk of developing acute coronary syndrome
(ACS). Methods: Three single-nucleotide polymorphisms in
HIF1A (rs11549465, rs11549467, rs2057482) and two in AGER
(rs2070600, rs1800624) genes were genotyped in 869 ACS Mexican
Mestizo patients and 682 controls. Haplotypes were constructed
after linkage disequilibrium (LD) analysis. Results: ACS patients
showed increased frequency of rs11549465C allele (P = 0.016, OR
3.6) and rs2057482C allele (P = 0.018, OR 1.39) and CC genotype
(P = 0.048, OR 1.39) when compared to controls. According to the
dominant model, rs11549465 and rs2057482 polymorphisms were
associated with risk of developing ACS. Two polymorphisms of
HIF1A gene were in LD and were included in two haplotypes: H1
(CC) and H2 (CT). ACS patients showed increased frequency of H1
when compared to controls (P = 0.009). Conclusion: Results sug-
gest that two HIF1A gene polymorphisms are associated with risk
of developing ACS in Mexican individuals.
S11
Table 1
Hemodynamic effects of Lv therapy.
D0
Group 2
(n = 15)
HR, bpm
112 2.9
GFR, ml/min/
1.73 m2
48.2 3.4
http://dx.doi.org/10.1016/j.resuscitation.2013.08.041
AP010
Acute myocardinal infarction complications
rate after prehospital thrombolysis or transport
to PCI. A prospective study
D21
Group 1
(n = 12)
M12
114 2.9
Group 1
(n = 12)
73 5.6##
Group 2
(n = 15)
70 5.3##
Group 1
(n = 8)
74 5.8##
Group 2
(n = 7)
76 5.1##
47.4 3.3
84 7.4##
76 5.7##
78 6.0## *
66 4.4##
68 4.1## , * 78 5.7##
76 5.9##,* 84 6.2#
46 3.1## , * 41 2.1#
42 2.4#
38 2.8
2580 54.2# 2400 47.4# 2450 49.2 2300 44.3
ESV, ml
95 8.3
97 8.4
EF, %
37 1.8
36 1.7
CI, ml/min/m2
2249 44.2
2100 41.2