The patient with an acute myocardial infarction that threatened cardiogenic shock was successfully resuscitated in a record-breaking amount of time, avoiding the danger, thanks to the quick cooperation of the Emergency Resuscitation team and Cardiovascular Intervention at Vinmec Times City Hospital "death" in a short period of time.
Plan a three-party consultation to determine the best course of action.
Few people are aware that, just a few days ago, patient Nguyen Van Hoa and the medical staff had to race against time to exit the "door" when they see Mr. Hoa, 65, of Hanoi speaking cheerfully to everyone "myocardial infarction that is sudden.
The super-emergency with the greatest fatality rate during the first hour is acute myocardial infarction. As a result, the patient's life depends on the battle against time. Due to acute chest pain and low blood pressure, Mr. Hoa was sent to the emergency room at the International General Hospital Vinmec Times City. The patient had an acute myocardial infarction, which threatened cardiogenic shock and had other serious co-morbidities, according to the doctor's clinical assessment. The medical staff at Vinmec Times City Hospital's Cardiac Interventional Unit promptly sought advice from a cardiologist at the University of Pennsylvania (USA) and the University of Yeungnam (South Korea) for the best course of action in this case of emergency. The decision was made to do an emergency coronary intervention under the supervision of intravascular ultrasonography (IVUS), in conjunction with the best possible medical care both before and after the intervention. One development in the field of interventional cardiology is IVUS intravascular ultrasonography, which helps to diagnose further coronary angiography and accurately intervene in the treatment of coronary atherosclerosis.
30-minute emergency treatment time record
For patients with myocardial infarction, time is vital, according to Dr. Tran Hai Ha of the emergency department of Vinmec Times City General Hospital. Around the world, it typically takes 120 minutes from the time the patient is received before the wire can be placed through the lesion. Less than 120 minutes is the "golden time" for cardiac intervention.
If the emergency is delayed, the heart muscle could die or there could be other fatal repercussions.
"In the instance of patient Hoa, prompt cooperation among the specialties helped reduce the duration of emergency care to only 30 minutes, improving the patient's prognosis and averting irreparable harm. "Recovery," stressed Dr. Ha.
After emergency coronary intervention and prolonged intense resuscitation, patient Nguyen Van Hoa's health stabilized after just one week. He was fully awake and able to move normally. The patient's condition was well controlled throughout the course of the treatment, including the implantation of a temporary pacemaker to stabilize the heart rate and maintain safe blood sugar levels.
Dr. Pham Thanh Van, the head of the cardiovascular intervention unit at Vinmec Times International Hospital, explained the emergency coronary intervention technique used in this case. He said: "To treat acute myocardial infarction, it is necessary to reestablish blood flow in the blocked artery as soon as possible. During a coronary intervention, a specialized device is frequently inserted into the femoral artery or the radial artery at the wrist to the site of the restricted coronary artery, where it is opened up to help restore normal blood flow. Patients benefit from a quick recovery, a brief hospital stay, and cost savings because of this high-tech, minimally invasive procedure.
With 150 patients successfully treated, Vinmec Times City International Hospital has developed the emergency coronary intervention procedure using intravascular ultrasonography (IVUS). This approach had a high success rate for treating cases, and no significant problems were noted.
“Leverage” to the Center of Excellence
With the prompt involvement of cardiologists from the University of Pennsylvania, the case of emergency treatment with patient Nguyen Van Hoa was successful in a record-breaking short amount of time (USA). This is one of the projects being carried out as part of the collaboration between Vinmec Hospital and the University of Pennsylvania (USA) to create a Center of Excellence (COE), which will integrate science, human resources, and operations to the best standards possible and be used in the US. As a result of this collaboration, the University of Pennsylvania's team of cardiovascular specialists is constantly available to the Vinmec Times City Hospital to work, offer professional assistance, counsel on challenging and problematic situations and apply standards advanced diagnostic evaluation (PCI Registry of ACC - American College of Cardiology) in diagnosis and treatment.
Cancer and cardiovascular disorders are on the rise in Vietnam. Vinmec is committed to creating "Centers of Excellence" in these two disciplines in order to provide patients with the most cutting-edge, effective, and all-encompassing treatment options. In addition to offering the best quality healthcare, COE's complete and integrated treatment model pioneers the study and use of innovative treatment modalities, advancing the development of improved treatment approaches. revolutionary medical procedure that works. The COE model is currently being used in the US, Europe, and many other developed nations including Australia and Japan.
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