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medic
ro
cardio
sigur şi fezabil; întârzierea a fost nu atinge pragul semnificaţiei sta- Concluzii
de 85 min.; s-a obţinut reducerea tistice decât la pacienţii a dresaţi n Dezobstrucţia coronariană cât
semnificativă a reinfarctizării la peste 3 ore de la debut; mai precoce îmbunătăţeşte sem-
(p = 0,03) şi a end-point-ului com- n DANAMI 2: transferul pacien- nificativ prognosticul IMA.
binat (p <0,02); ţilor în vederea realizării an- n Beneficiile angioplastiei primare
n AIR-PAMI: pacienţii cu risc cres- gioplastiei primare este indicat, cu stent sunt superioare trom-
cut au beneficiu ca urmare a rezultatele fiind superioare trom- bolizei, transferul pacienţilor că-
trans portului în vederea PTCA pri- bolizei, mai ales în cazurile în care tre centrele medicale cu unităţi
mară (reducerea ratei deceselor, durata transportului este sub 120 de cardiologie intervenţională
reinfarctizării, AVC); min. (reducerea re infarctizării - fiind indicat mai ales atunci
n PRAGUE 2: transferul pacientului p <0,0001 şi a end-point-ului când durata transportului este
este sigur; reducerea mortalităţii c o m binat - p <0,003). sub 120 de minute. n
Bibliografie
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pag. 92 nr. 51/februarie 2009
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