急性心肌梗塞战略ppt课件.ppt

AMI StrategyHow to Achieve Door-to-Balloon Times of 90 Minutes and What to Do Next?;Overview;Acute MI: Introduction;Acute MI: Early ManagementReperfusion;Acute MI: Direct PCIAdvantages;Direct PTCA vs. ThrombolysisPAMI-1;Primary Angioplasty vs. Thrombolysis: Meta-analysis;Primary Angioplasty vs. Thrombolysis: Meta-analysis;PCI vs Lysis Meta Analysis;Lytics vs Transfer for PCI: DANAMI;Acute MI: Direct PCILimitations;Is Time as Critical in Primary PCI?;ACC/AHA Recommendations for Direct PCI in AMI2004;Primary PCI in the United States;Primary PCI PathwayAn Opportunity for Process Improvement;Process Change;Door-To Balloon TimeHenry Ford Hospital Detroit;Door-To Balloon TimeHenry Ford System Wide2005;Henry Ford Acute Myocardial Infarction Program;Henry Ford ER Locations;Door-To Balloon TimeHenry Ford System Wide2005;Improving Door to Balloon Time;Create A Multi Disciplinary TeamIdentify Advocates;Changing the Process;Changing the Process;Changing the Process;Changing the Process;Changing the Process;Cath Lab TimesArrival to Balloon Inflation;HFH AMI Flow Chart;AMI Gann Chart;Changing the Process;Changing the Process;Alternative Strategies and Next Steps;HFHS Initiatives;Conclusions