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