Primary angioplasty for acute myocardial infarction: the Zwolle approach.
Timely restoration of antegrade coronary blood flow by primary angioplasty of the infarct-related vessel of a patient with an acute myocardial infarction results in myocardial salvage and improved survival. The main issues pertinent to the delivery of primary angioplasty therapy are discussed, and the 'Zwolle approach' is described with regard to the prehospital phase, the first 15 min in-hospital, pharmacological therapy, angiography and angioplasty, risk stratification, rehabilitation and secondary prevention.
Hospital De Weezenlanden, Department of Cardiology, Zwolle, The Netherlands.
F
F
Zijlstra
M J
MJ
de Boer
D000800:Angioplasty, Balloon / Q000379:methods* / Q000592:standards; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D004638:Emergency Treatment / Q000379:methods / Q000592:standards; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000401:mortality / Q000517:prevention & control / Q000628:therapy*; D015425:Myocardial Reperfusion / Q000379:methods* / Q000592:standards; D009426:Netherlands; D011379:Prognosis; D018570:Risk Assessment; D015607:Stents; D015996:Survival Rate; D016896:Treatment Outcome
D005343:Fibrinolytic Agents