Jährlich sterben in Deutschland über 40 000 Menschen an den Folgen eines Myokardinfarkts. Unverändert versterben davon allerdings bis zu zwei Drittel präklinisch – was die Wichtigkeit der präklinischen Versorgung für Patienten mit Herzinfarkt unterstreicht. Dieser Beitrag will auf der Basis auf den aktuellen Leitlinien einen Überblick über präklinisch relevante Aspekte geben [1]
[4]
[7].
Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany
Literatur
1
Roffi M,
Patrono C,
Collet JP.
et al
2015 ESC Guidelines for the Management of Acute Coronary Syndromes in Patients Presenting Without Persistent ST-segment Elevation. Rev Esp Cardiol (Engl Ed) 2015; 68 (12) 1125 . doi:10.1016/j.rec.2015.10.009
2
Brieger D,
Eagle KA,
Goodman SG.
et al
Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the Global Registry of Acute Coronary Events. Chest 2004; 126 (02) 461-469 . doi:10.1378/chest.126.2.461
4
Ibánez B,
James S,
Agewall S.
et al
2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Rev Esp Cardiol (Engl Ed) 2017; 70 (12) 1082 . doi:10.1016/j.rec.2017.11.010
5
Tubaro M,
Danchin N,
Goldstein P.
et al
Pre-hospital treatment of STEMI patients. A scientific statement of the Working Group Acute Cardiac Care of the European Society of Cardiology. Acute Card Care 2011; 13 (02) 56-67 . doi:10.3109/17482941.2011.581292
6
Mehta SR,
Bassand JP,
Chrolavicius S.
et al
Dose comparisons of clopidogrel and aspirin in acute coronary syndromes. New Engl J Med 2010; 363 (10) 930-942 . doi:10.1056/NEJMoa0909475
7
Nikolaou NI,
Arntz HR,
Bellou A.
et al
European Resuscitation Council Guidelines for Resuscitation 2015 Section 8. Initial management of acute coronary syndromes. Resuscitation 2015; 95: 264-277 . doi:10.1016/j.resuscitation.2015.07.030
8
Borzak S,
Cannon CP,
Kraft PL.
et al
Effects of prior aspirin and anti-ischemic therapy on outcome of patients with unstable angina. TIMI 7 Investigators. Thrombin Inhibition in Myocardial Ischemia. Am J Cardiol 1998; 81 (06) 678-681 . doi:10.1016/s0002-9149(97)01006-0
9
Parodi G,
Bellandi B,
Xanthopoulou I.
et al
Morphine is associated with a delayed activity of oral antiplatelet agents in patients with ST-elevation acute myocardial infarction undergoing primary percutaneous coronary intervention. Circ Cardiovasc Interv 2015; 8 (01)
10
Stub D,
Smith K,
Bernard S.
et al
Air Versus Oxygen in ST-Segment-Elevation Myocardial Infarction. Circulation 2015; 131 (24) 2143-2150 . doi:10.1161/CIRCULATIONAHA.114.014494
