Принципы маршрутизации больных и реперфузионной терапии при остром коронарном синдроме

Abstract

The article discusses ways to improve the system of specialized medical care for acute coronary syndrome
(ACS). Conducting effective and timely reperfusion therapy is the main therapeutic and organizational task
in patients with ACS. At the same time, it is the recovery time of the coronary blood flow in the infarctrelated artery that is of decisive importance in the prognosis of the outcomes of the disease, rather than
the actual method of reperfusion. The strengthening of the material and technical base of the emergency
medical service, the creation of a network of reperfusion centers operating 24/7, the formation of optimal
routing schemes for patients with ACS contribute to a fundamental improvement in the availability of
high-tech cardiological care for this category of patients and, as a result, a reduction in mortality and
disability from myocardial infarction.