title: [Protocol for the care of acute myocardial infarction in emergency: Código infarto (The Infarction Code)].
abstract: Cardiovascular diseases are a major public health problem because of their they impact on more than 30% of all deaths worldwide. In our country and in the Instituto Mexicano del Seguro Social (IMSS) are also the leading cause of death and the main cause of lost of healthy life years due to disability or premature death. 50% of deaths are premature; most of them are due to acute myocardial infarct. However, the investment for cardiovascular health is poor and there are no comprehensive cares programs focused on the treatment of this diseases or the control of their risk factors. To address this problem, the first institutional care program was developed, called "A todo corazón", which aims to strengthen actions to promote healthy habits, prevention and care of cardiovascular diseases. The initial approach is to implement a protocol of care emergency services called "Código infarto", which is intended to ensure the diagnosis and treatment of patients demanding emergency care for acute myocardial infarction and receive reperfusion treatment with primary angioplasty in the first 90 minutes, or fibrinolytic therapy in the first 30 minutes after the admission to the IMSS emergency services.
authors.affiliation: Dirección Médica, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. gabriela.borrayo@imss.gob.mx.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Borrayo-Sánchez
authors.forename: Gilberto
authors.initials: G
authors.lastname: Pérez-Rodríguez
authors.forename: Olga Georgina
authors.initials: OG
authors.lastname: Martínez-Montañez
authors.forename: Eduardo
authors.initials: E
authors.lastname: Almeida-Gutiérrez
authors.forename: Erick
authors.initials: E
authors.lastname: Ramírez-Arias
authors.forename: Joel
authors.initials: J
authors.lastname: Estrada-Gallegos
authors.forename: Norma Magdalena
authors.initials: NM
authors.lastname: Palacios-Jiménez
authors.forename: Martín
authors.initials: M
authors.lastname: Rosas-Peralta
authors.forename: Efraín
authors.initials: E
authors.lastname: Arizmendi-Uribe
authors.forename: Jesús
authors.initials: J
authors.lastname: Arriaga-Dávila
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D002985:Clinical Protocols; D004632:Emergency Medical Services / Q000379:methods* / Q000458:organization & administration; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006801:Humans; D008800:Mexico; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000628:therapy*; D013997:Time Factors; D014218:Triage / Q000379:methods / Q000458:organization & administration
chemical_list: D005343:Fibrinolytic Agents
keywords: Cardiovascular diseases; Heart diseases; Myocardial infarction