Heart-Attack-Blues
Call 911 if you want to live
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The Gold Standard

The gold standard has consistently been proven to save lives. Time is muscle.

The gold standard of care for treating a heart attack is reperfusion therapy—re-establishing blood flow in the blocked coronary artery—in a timely fashion by an experienced operator in a cardiac center of excellence. 

The goal is to get from first medical contact to open artery in less than 90 minutes. 

To provide the gold standard of care, we need a transformation in the care that is presently given. 

An aggressive system must be in place to provide state-of-the-art treatment for heart attacks 24 hours a day, 7 days a week, and 365 days every year.

To implement this level of care, we need to establish networks of heart attack receiving centers.

 

These networks must provide care at three critical levels.

First, there must be a center of excellence that can administer reperfusion therapy in a timely and reliable fashion so that the time from first medical contact to open artery is consistently less than 90 minutes. 

Second, there must be emergency medical services that can immediately respond to a scene, stabilize the patient and transport him or het to the heart attack receiving center as soon as possible. The ability to perform an EKG in the field is a valuable tool to diagnose heart attacks earlier so that the receiving center can mobilize the cardiac catheterization laboratory early, thus saving valuable time.

Third, patients must recognize that the 911 call for help must be made as soon as the symptoms begin.

                

          The clock is ticking!!!!

              



Total occlusion if the right coronary artery resulting in an acute myocardial infarction.





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Reperfusion - restoration of coronary blood using balloon angioplasty and placement of a coronary stent.