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Master Thesis

Impact de l'ouverture de la salle de coronarographie du Centre Hospitalier de Chambéry sur la prise en charge en Savoie des infarctus du myocarde avec sus-décalage du segment ST

Abstract : Introduction - The Percutaneous Coronary Intervention(PCI)-capable center of Chambéry Hospital opened on October 3rd 2011. The aim of this study was to measure the impact of the opening of the catheterization laboratory on the management of patients suffering from acute ST-segment elevation myocardial infarction (STEMI) in Savoie. Methods - This was an observational descriptive and retrospective study. This study included patients consulting the emergency departments and emergency medical system (EMS) of Savoie, Belley and Pont De Beauvoisin with a less than 12 hours STEMI : patients managed before the opening of the catheterization laboratory, from January 1st 2010 to October 2nd 2011 and patients treated after the opening from October 3rd 2011 to December 31th 2012. All data were extracted from RESURCOR, a register of coronary emergencies within the RENAU, North Alpine Network of Emergency. Results - Five hundred thirty four patients were included, 335 patients before and 199 patients after. Since the opening of the catheterization laboratory, the rate of primary PCI increased from 54% to 78% (p<0,0001). Sixty eight percents of patients who underwent a primary PCI are now directly transferred in a PCI-capable center against 38% before (p<0,0001). The system delay decreased by 27 minutes with an initial management by EMS for primary PCI (136 min vs 111 min, p=0,042). There was no significant difference in intra hospital evolution but only a trend in decrease of mortality: 6.75% before versus 3.55% after, p=0,12. Conclusion - The opening of the catheterization laboratory changed the reperfusion strategy of patients presenting with STEMI in the Savoie population base.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01247758
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Submitted on : Tuesday, December 22, 2015 - 4:58:43 PM
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  • HAL Id : dumas-01247758, version 1

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Léa Carbone. Impact de l'ouverture de la salle de coronarographie du Centre Hospitalier de Chambéry sur la prise en charge en Savoie des infarctus du myocarde avec sus-décalage du segment ST. Médecine humaine et pathologie. 2015. ⟨dumas-01247758⟩

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