Resumen

ESCOBAR, Edgardo  y  AKEL, Carlos. AMI: Management in the pre-hospitalization period. Rev Chil Cardiol [online]. 2019, vol.38, n.3, pp.218-224. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602019000300218.

Treatment of acute myocardial infarction should be initiated in the prehospital scenario at the site of first medical contact. Prompt electrocardiographic diagnosis should be performed ideally within 10min after consultation and diagnosis confirmed by a specialist. Teletransmission of the electrocardiogram to a call center staffed with specialists on a 24/7 basis is a very efficient model, ideally as part of a network of treatment. Pain control and administration of antiplatelets agents are mandatory and if primary percutaneous intervention is not feasible within time limits universally recommended, prehospital fibrinolyisis should be performed followed by deferred angioplasty.

Palabras clave : Acute myocardial infarction. Prehospital management of STEMI; Tele electrocardiography.

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