Background: Medical management for patients presenting ST- elevation myocardial infarction (STEMI) must be individualized according to age and comorbidity, time of symptom onset, time from first medical contact (FMC) to percutaneous coronary intervention (PCI) center, and the territory of the infarct. The aim of our study is to assess improving practices in STEMI management after an update protocol, following recommendations.
Material and methods: Observational, retrospective study from patients managed by SAMU 46 in three emergency departments and emergency mobile units from January to June 2014 and from January to December 2015. Data were collected from medical record and compared.The aim of our study is to compare compliance rate for associated treatment to local protocol between 2014 and 2015. Secondary aims isto compare between 2014 and 2015, time between FMC to PCI center and describe population.
Results: A total of 29 patients were enrolled in 2014 and 49 in 2015. The time between FMC to PCI center’s door was two hours 25 minutes in 2014 and one hour 58 minutes in 2015 (ns) and compliance rate for associated treatment improved (83.7% vs 55.2%, p = 0.002).
Conclusion: STEMI management improved between 2014 and 2015 in our department. Data observatory allows emergency team to maintain quality of care for patients presenting STEMI.
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