Patients treated with acute coronary artery opening (reperfusion) in major myocardial infarction (STEMI), proportion (%) - Target level ≥ 85
Description
The indicator shows the proportion of patients with myocardial infarction and ST segment elevation on ECG who received acute reperfusion therapy. Myocardial infarction is caused by more or less extensive clotting in one of the coronary arteries of the heart. If the ECG shows so-called ST segment elevation, a coronary artery is probably completely blocked by a blood clot. These patients need immediate opening of the coronary artery with PCI treatment, so-called primary PCI or with clot-dissolving drug treatment, so-called thrombolysis. Treatment should be started as soon as possible after symptom onset and diagnosis, to minimise damage to the heart and the risk of future heart failure and death. Reperfusion therapy includes primary PCI, thrombolysis and acute bypass surgery, CABG. Primary PCI is now the dominant treatment in most regions. According to the national guidelines, primary PCI should be preferred to pharmacotherapy with thrombolysis. Thrombolysis should be chosen in cases where primary PCI would mean a time delay of more than 120 minutes, which is only relevant on Gotland and in sparsely populated areas. Reperfusion treatment for ST segment elevation myocardial infarction is a high priority in the national guidelines for cardiac care, regardless of the choice of method. The indicator is taken from SWEDEHEART's annual report of the quality index for myocardial infarction care and is one of the national heart guidelines' indicators for follow-up. Only patients under 80 years of age are included. Furthermore, only patients where the time between onset of symptoms and ECG was less than 12 hours are included.
Resources
| Name |
Format |
Description |
Link |
|
0 |
|
http://data.europa.eu/88u/dataset/http-api-kolada-se-v2-kpi-u70514 |
Tags
- rådet-för-främjande-av-kommunala-analyser-kolada
- region