St Ekaterina University Hospital, Sofia, Bulgaria.
EuroIntervention. 2012 Aug;8 Suppl P:P94-8. doi: 10.4244/EIJV8SPA17.
This article describes the development of the p-PCI network in Bulgaria. Even though interventional treatment of STEMI in the country was introduced around 1990, it was not performed on a regular basis which made it largely inefficient. The paper tracks the network evolution with all the problems encountered and the solutions undertaken until the present moment. Historically, all the important factors concerning the implementation, such as spreading of PCI centres, networks and infrastructure, training and certification, emergency medical service, public awareness campaigns, 24/7 work, reimbursement, etc., are reviewed. Finally, the current increase of the percentage of STEMI patients treated by p-PCI and the decrease of overall STEMI mortality rates are shown, clearly demonstrating the huge value of the SFL know-how and contribution.
本文描述了保加利亚 p-PCI 网络的发展。尽管该国在 1990 年左右就引入了 STEMI 的介入治疗，但并未常规开展，因此效果不佳。本文跟踪了网络的发展演变，记录了所有遇到的问题和解决方案，直到现在。从历史上看，所有与实施相关的重要因素，如 PCI 中心、网络和基础设施的扩展、培训和认证、紧急医疗服务、公众意识运动、24/7 工作制、报销等，都进行了审查。最后，显示了 STEMI 患者接受 p-PCI 治疗的比例的增加和 STEMI 死亡率的总体下降，这清楚地表明了 SFL 专业知识和贡献的巨大价值。
