Matches in SemOpenAlex for { <https://semopenalex.org/work/W2161556054> ?p ?o ?g. }
Showing items 1 to 87 of
87
with 100 items per page.
- W2161556054 endingPage "56" @default.
- W2161556054 startingPage "52" @default.
- W2161556054 abstract "There is currently much debate about the relative roles of pharmacological reperfusion (ie, thrombolysis) and mechanical reperfusion (ie, primary percutaneous coronary intervention (PPCI) in the management of patients with acute ST segment elevation acute myocardial infarction (STEMI). Whilst the scientific debate is reaching some resolution in terms of appropriate interpretation of the evidence base, there are still significant resource issues within the UK that limit our ability to implement gold standard reperfusion therapy. Current evidence supports the use of one or other strategy in certain situations depending on various patient-related and logistical factors. This paper reviews the literature and builds the case for developing a strategic approach which includes both mechanical and pharmacological interventions, proposing that these are not mutually exclusive-indeed, that an approach which excludes one of these interventions will not be to the benefit of all patients. There is also a discussion of the role of rescue PPCI, facilitated PPCI and early post thrombolysis angiography in the management of STEMI. Cardiac networks throughout the UK are developing strategies to improve access to these interventions and this paper offers advice on the logical selection of interventions for reperfusion in the context of a clinical decision framework that is evidence-based, pragmatic and develops through a series of scenarios with increasing availability of resources. Four sequential scenarios are presented: the first to set the scene is largely consigned to history; the last, as of yet, is not robustly achievable within the UK, but represents the optimum reperfusion pathway, to which most cardiac networks are striving. Most of us currently find ourselves in a period of change between the two and will relate to either scenario two or three." @default.
- W2161556054 created "2016-06-24" @default.
- W2161556054 creator A5033468909 @default.
- W2161556054 date "2007-01-01" @default.
- W2161556054 modified "2023-09-23" @default.
- W2161556054 title "The optimum reperfusion pathway for ST elevation acute myocardial infarction: development of a decision framework" @default.
- W2161556054 cites W1968075063 @default.
- W2161556054 cites W1993138428 @default.
- W2161556054 cites W1998245809 @default.
- W2161556054 cites W2011047627 @default.
- W2161556054 cites W2034185700 @default.
- W2161556054 cites W2050084208 @default.
- W2161556054 cites W2059289792 @default.
- W2161556054 cites W2104313731 @default.
- W2161556054 cites W2113975286 @default.
- W2161556054 cites W2121268836 @default.
- W2161556054 cites W2130165076 @default.
- W2161556054 cites W2135217811 @default.
- W2161556054 cites W2147615829 @default.
- W2161556054 cites W2159121887 @default.
- W2161556054 cites W2162875449 @default.
- W2161556054 cites W2170504268 @default.
- W2161556054 cites W2232858378 @default.
- W2161556054 cites W2616180029 @default.
- W2161556054 doi "https://doi.org/10.1136/emj.2006.042952" @default.
- W2161556054 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/2658158" @default.
- W2161556054 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/17183049" @default.
- W2161556054 hasPublicationYear "2007" @default.
- W2161556054 type Work @default.
- W2161556054 sameAs 2161556054 @default.
- W2161556054 citedByCount "14" @default.
- W2161556054 countsByYear W21615560542013 @default.
- W2161556054 countsByYear W21615560542014 @default.
- W2161556054 countsByYear W21615560542019 @default.
- W2161556054 crossrefType "journal-article" @default.
- W2161556054 hasAuthorship W2161556054A5033468909 @default.
- W2161556054 hasBestOaLocation W21615560541 @default.
- W2161556054 hasConcept C118552586 @default.
- W2161556054 hasConcept C151730666 @default.
- W2161556054 hasConcept C164705383 @default.
- W2161556054 hasConcept C177713679 @default.
- W2161556054 hasConcept C27415008 @default.
- W2161556054 hasConcept C2779343474 @default.
- W2161556054 hasConcept C2779581417 @default.
- W2161556054 hasConcept C2780387585 @default.
- W2161556054 hasConcept C2780400711 @default.
- W2161556054 hasConcept C500558357 @default.
- W2161556054 hasConcept C545542383 @default.
- W2161556054 hasConcept C71924100 @default.
- W2161556054 hasConcept C86803240 @default.
- W2161556054 hasConceptScore W2161556054C118552586 @default.
- W2161556054 hasConceptScore W2161556054C151730666 @default.
- W2161556054 hasConceptScore W2161556054C164705383 @default.
- W2161556054 hasConceptScore W2161556054C177713679 @default.
- W2161556054 hasConceptScore W2161556054C27415008 @default.
- W2161556054 hasConceptScore W2161556054C2779343474 @default.
- W2161556054 hasConceptScore W2161556054C2779581417 @default.
- W2161556054 hasConceptScore W2161556054C2780387585 @default.
- W2161556054 hasConceptScore W2161556054C2780400711 @default.
- W2161556054 hasConceptScore W2161556054C500558357 @default.
- W2161556054 hasConceptScore W2161556054C545542383 @default.
- W2161556054 hasConceptScore W2161556054C71924100 @default.
- W2161556054 hasConceptScore W2161556054C86803240 @default.
- W2161556054 hasIssue "1" @default.
- W2161556054 hasLocation W21615560541 @default.
- W2161556054 hasLocation W21615560542 @default.
- W2161556054 hasLocation W21615560543 @default.
- W2161556054 hasLocation W21615560544 @default.
- W2161556054 hasOpenAccess W2161556054 @default.
- W2161556054 hasPrimaryLocation W21615560541 @default.
- W2161556054 hasRelatedWork W130564172 @default.
- W2161556054 hasRelatedWork W2008491231 @default.
- W2161556054 hasRelatedWork W2026729634 @default.
- W2161556054 hasRelatedWork W2037852547 @default.
- W2161556054 hasRelatedWork W2045635646 @default.
- W2161556054 hasRelatedWork W2077770902 @default.
- W2161556054 hasRelatedWork W2181669776 @default.
- W2161556054 hasRelatedWork W2775730021 @default.
- W2161556054 hasRelatedWork W2885316274 @default.
- W2161556054 hasRelatedWork W2918435398 @default.
- W2161556054 hasVolume "24" @default.
- W2161556054 isParatext "false" @default.
- W2161556054 isRetracted "false" @default.
- W2161556054 magId "2161556054" @default.
- W2161556054 workType "article" @default.