• 作者：André ; s Í ; ñ ; iguez Romo^a ; ^{andres.iniguez.romo@sergas.es} ; Nicol&#225 ; s V&#225 ; zquez Gonz&#225 ; lez^b ; Ramiro Trillo Nouche^c ; José ; Antonio Baz^a ; José ; Manuel V&#225 ; zquez^b ; Alfonso Castro Beiras^b ; Antonio Amaro Cendó ; n^d ; José ; Ramó ; n Gonz&#225 ; lez Juanatey^c ; Francisco Calvo Iglesias^a ; M. Victoria Barreiro Dí ; az^e ; Luisa Chay&#225 ; n Zas^e ; Jorge Puente Hern&#225 ; ndez^e ; Jacobo Varela-Portas Mariñ ; o^e ; José ; Ramó ; n Gó ; mez Fern&#225 ; ndez^f ; en representació ; n de los participantes en la elaboració ; n del protocolo PROGALIAM y los facultativos que integran la Red Asistencial PROGALIAM
• 关键词：Intervenció ; n coronaria percutá ; nea primaria ; Infarto agudo de miocardio ; PROGALIAM ; Sí ; ndrome coronario agudo
• 刊名：Revista Espa?ola de Cardiolog篓陋a Suplementos
• 出版年：2011
• 期刊代码：pca309_11313587
• 类别：med
• 出版时间：2011
• 卷：11
• 期：supp_S3
• 页码：44-50
• 文件大小：152 K

Although theoretically early reperfusion using percutaneous coronary intervention is the most effective treatment for patients with acute myocardial infarction, less than 20%actually receive it. The region of Galicia in Spain has developed a treatment program and network: the Galician treatment program for STsegment elevation acute myocardial infarction (PROGALIAM), which covers a population of some 2 750 000 inhabitants. The program has two principal objectives: to reduce mortality and morbidity while improving the quality of life of myocardial infarction patients; and to promote equality of access to health-care services in order to reduce the variability in uptake of diagnostic and therapeutic resources and techniques in patients with the condition.

From the establishment of the program in 2006 to December 2009, the three referral hospitals in the PROGALIAM network (in Coru帽a, Santiago and Vigo) have treated a total of 4917 patients with acute myocardial infarction. The median transport time from a hospital without a catheterization laboratory to a center with such a facility was 80 minutes. When an emergency 061 call resulted in immediate transport to a referral hospital (i.e. from home to catheterization laboratory), the time from symptom onset to catheterization was 39%less than the time following a subsequent referral (i.e. for patients who were admitted to their local hospital and then transferred by the emergency services to a hospital with a catheterization laboratory). Average in-hospital mortality ranged from 5%following primary percutaneous coronary intervention to 12%following rescue percutaneous coronary intervention. In conclusion, the establishment of a program of coronary reperfusion by percutaneous coronary intervention in patients with acute myocardial infarction in the Galicia region (PROGALIAM) both ensured and equalized access to the best possible treatment for these patients, and was highly effective in reducing mortality.