Duodecim. 2011;127(18):1946-7.
This first Finnish STEMI guideline is based on scientific evidence and expert opinion. The guideline emphasises the concept of "STEMI centres". The primary mode of revascularisation should be percutaneous coronary intervention in a large-volume centre within 120 min of the diagnosis. If this is not available, a prehospital fibrinolysis should be performed. Given the huge differences in the distances between and organisation of emergency services in Finland, locally adapted guidelines are required to ensure the timely treatment of STEMI patients.
这份芬兰首份ST段抬高型心肌梗死指南基于科学证据和专家意见。该指南强调了“ST段抬高型心肌梗死中心”的概念。血运重建的主要方式应为在诊断后120分钟内在大容量中心进行经皮冠状动脉介入治疗。如果无法进行该治疗，则应进行院前溶栓治疗。鉴于芬兰急救服务机构之间的距离和组织方式存在巨大差异，需要因地制宜的指南来确保ST段抬高型心肌梗死患者得到及时治疗。
