Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, Jl S Parman Kav 87, Slipi, Jakarta Barat, 11420, Jakarta, Indonesia,
Neth Heart J. 2012 Jun;20(6):254-9. doi: 10.1007/s12471-012-0259-9.
We studied the characteristics of ST-elevation myocardial infarction (STEMI) patients from a local acute coronary syndrome (ACS) registry in order to find and build an appropriate acute myocardial infarction (AMI) system of care in Jakarta, Indonesia.
Data were collected from the Jakarta Acute Coronary Syndrome (JAC) registry 2008-2009, which contained 2103 ACS patients, including 654 acute STEMI patients admitted to the National Cardiovascular Center Harapan Kita, Jakarta, Indonesia.
The proportion of patients who did not receive reperfusion therapy was 59% in all STEMI patients and the majority of them (52%) came from inter-hospital referral. The time from onset of infarction to hospital admission was more than 12 h in almost 80% cases and 60% had an anterior wall MI. In-hospital mortality was significantly higher in patients who did not receive reperfusion therapy compared with patients receiving acute reperfusion therapy, either with primary percutaneous coronary intervention (PPCI) or fibrinolytic therapy (13.3% vs 5.3% vs 6.2%, p < 0.001).
The Jakarta Cardiovascular Care Unit Network System was built to improve the care of AMI in Jakarta. This network will harmonise the activities of all hospitals in Jakarta and will provide the best cardiovascular services to the community by giving two reperfusion therapy options (PPCI or pharmaco-invasive strategy) depending on the time needed for the patient to reach the cath-lab.
我们研究了来自印度尼西亚雅加达当地急性冠脉综合征（ACS）注册中心的 ST 段抬高型心肌梗死（STEMI）患者的特征，以便在雅加达找到并建立一个合适的急性心肌梗死（AMI）治疗系统。
数据来自 2008-2009 年雅加达急性冠脉综合征（JAC）注册中心，其中包含 2103 例 ACS 患者，包括 654 例急性 STEMI 患者，他们被收入印度尼西亚雅加达国家心血管中心哈潘尼亚卡（Harapan Kita）。
所有 STEMI 患者中未接受再灌注治疗的比例为 59%，其中大多数（52%）来自医院间转诊。近 80%的患者从梗塞发作到入院的时间超过 12 小时，60%的患者为前壁 MI。与接受急性再灌注治疗的患者（无论是直接经皮冠状动脉介入治疗（PPCI）还是溶栓治疗）相比，未接受再灌注治疗的患者住院死亡率显著更高（13.3%比 5.3%比 6.2%，p<0.001）。
雅加达心血管护理单元网络系统的建立是为了改善雅加达的 AMI 治疗。该网络将协调雅加达所有医院的活动，并通过为患者提供两种再灌注治疗选择（PPCI 或药物介入策略），根据患者到达导管室所需的时间，为社区提供最佳的心血管服务。
