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 โรคหัวใจและการรักษา

การทำหัตถการรักษาโรคหัวใจและหลอดเลือด

Primary PCI for STEMI

  • STEMI is ST Elevation Myocardial Infarction. A type of myocardial infarction (heart attack) with characteristic ST elevation on electrocardiogram.
  • PCI is Percutaneous Coronary Intervention.
  • Primary PCI is the PCI without pharmacologic intervention before PCI procedure except those given during PCI procedure.
  • Direct admission: Patients who received the STEMI diagnosis at the PCI hospital.
  • Transferred admission: Patients have STEMI diagnosis at other (First-non PCI) hospital then transfer to PCI hospital.
  • “Door to Balloon time” is counting from FMC – First Medical Contact – when the diagnosis of STEMI was made, to the time start using device to open the occluded coronary artery.
    • For direct admission: Door to balloon time should be <90 minutes
For transferred admission: Door to Balloon time should be <120 minutes.

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Percutaneous Coronary Intervention (PCI)

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