Pre-hospital treatment of patients with acute coronary syndrome: Recommendations for medical emergency teams. Expert position update 2022

Jacek Kubica¹, Piotr Adamski², Jerzy R Ładny³, Jarosław Kaźmierczak⁴, Tomasz Fabiszak¹, Krzysztof J Filipiak⁵, Robert Gajda⁶, Mariusz Gąsior⁷, Zbigniew Gąsior⁸, Robert Gil⁹, Jarosław Gorący^{10

4}, Stefan Grajek¹¹, Leszek Gromadziński¹², Marcin Gruchała¹³, Grzegorz Grześk¹⁴, Piotr Hoffman¹⁵, Miłosz J Jaguszewski¹⁶, Marianna Janion¹⁷, Piotr Jankowski^{18

19}, Zbigniew Kalarus²⁰, Jarosław D Kasprzak²¹, Andrzej Kleinrok²², Wacław Kochman²³, Aldona Kubica¹, Wiktor Kuliczkowski²⁴, Jacek Legutko²⁵, Maciej Lesiak¹¹, Klaudiusz Nadolny²⁶, Eliano P Navarese¹, Piotr Niezgoda¹, Małgorzata Ostrowska¹, Przemysław Paciorek¹, Jolanta Siller-Matula^{27

28}, Łukasz Szarpak^{29

30}, Dariusz Timler³¹, Adam Witkowski³², Wojciech Wojakowski³³, Andrzej Wysokiński³⁴, Marzenna Zielińska³⁵

Affiliations

¹ Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
² Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland. piotr.adamski@wp.eu.
³ Department of Emergency Medicine Medical University of Bialystok, Poland.
⁴ Department of Cardiology, Pomeranian Medical University, Szczecin, Poland.
⁵ Institute of Clinical Medicine, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
⁶ Gajda-Med. Medical Center, Pultusk, Poland.
⁷ 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
⁸ Department of Cardiology, Medical University of Silesia, Katowice, Poland.
⁹ Mossakowski Medical Research Institute, Polish Academy of Science, Warsaw, Poland.
¹⁰ Independent Laboratory of Invasive Cardiology, Pomeranian Medical University, Szczecin, Poland.
¹¹ Ist Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland.
¹² Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
¹³ Ist Department of Cardiology, Medical University of Gdańsk, Poland.
¹⁴ Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences, Nicolaus Copernicus University, Toruń, Poland.
¹⁵ Department of Congenital Heart Defects, National Institute of Cardiology, Warszawa, Poland.
¹⁶ 1st Department of Cardiology, Medical University of Gdansk, Poland.
¹⁷ Institute of Medical Sciences, Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
¹⁸ Department of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Warsaw, Poland.
¹⁹ Department of Epidemiology and Health Promotion, School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland.
²⁰ 2nd Chair and Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
²¹ 1st Department of Cardiology, Medical University of Lodz, Bieganski Hospital, Łódź, Poland.
²² University of Information Technology and Management in Rzeszów, Poland.
²³ The National Institute of Cardiology, Department of Cardiology, Bielanski Hospital, Warsaw, Poland.
²⁴ Institute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
²⁵ Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital in Krakow, Poland.
²⁶ Faculty of Medicine, University of Technology in Katowice, Poland.
²⁷ Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Poland.
²⁸ Department of Cardiology, Medical University of Vienna, Austria.
²⁹ Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
³⁰ Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
³¹ Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Lodz, Poland.
³² Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warszawa, Poland.
³³ Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
³⁴ Department of Cardiology, Medical Uniwersity of Lublin, Lublin, Poland.
³⁵ Department of Invasive Cardiology, Medical University of Lodz, Lodz, Poland.

PMID: 35514089
PMCID: PMC9273237
DOI: 10.5603/CJ.a2022.0026

Pre-hospital treatment of patients with acute coronary syndrome: Recommendations for medical emergency teams. Expert position update 2022

Jacek Kubica et al. Cardiol J. 2022.

. 2022;29(4):540-552.

doi: 10.5603/CJ.a2022.0026. Epub 2022 May 6.

Authors

Affiliations

¹ Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
² Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland. piotr.adamski@wp.eu.
³ Department of Emergency Medicine Medical University of Bialystok, Poland.
⁴ Department of Cardiology, Pomeranian Medical University, Szczecin, Poland.
⁵ Institute of Clinical Medicine, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
⁶ Gajda-Med. Medical Center, Pultusk, Poland.
⁷ 3rd Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
⁸ Department of Cardiology, Medical University of Silesia, Katowice, Poland.
⁹ Mossakowski Medical Research Institute, Polish Academy of Science, Warsaw, Poland.
¹⁰ Independent Laboratory of Invasive Cardiology, Pomeranian Medical University, Szczecin, Poland.
¹¹ Ist Department of Cardiology, Poznan University of Medical Sciences, Poznań, Poland.
¹² Department of Cardiology and Internal Medicine, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
¹³ Ist Department of Cardiology, Medical University of Gdańsk, Poland.
¹⁴ Department of Cardiology and Clinical Pharmacology, Faculty of Health Sciences, Nicolaus Copernicus University, Toruń, Poland.
¹⁵ Department of Congenital Heart Defects, National Institute of Cardiology, Warszawa, Poland.
¹⁶ 1st Department of Cardiology, Medical University of Gdansk, Poland.
¹⁷ Institute of Medical Sciences, Collegium Medicum, Jan Kochanowski University, Kielce, Poland.
¹⁸ Department of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Warsaw, Poland.
¹⁹ Department of Epidemiology and Health Promotion, School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland.
²⁰ 2nd Chair and Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland.
²¹ 1st Department of Cardiology, Medical University of Lodz, Bieganski Hospital, Łódź, Poland.
²² University of Information Technology and Management in Rzeszów, Poland.
²³ The National Institute of Cardiology, Department of Cardiology, Bielanski Hospital, Warsaw, Poland.
²⁴ Institute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
²⁵ Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital in Krakow, Poland.
²⁶ Faculty of Medicine, University of Technology in Katowice, Poland.
²⁷ Department of Experimental and Clinical Pharmacology, Medical University of Warsaw, Poland.
²⁸ Department of Cardiology, Medical University of Vienna, Austria.
²⁹ Institute of Outcomes Research, Maria Sklodowska-Curie Medical Academy, Warsaw, Poland.
³⁰ Research Unit, Maria Sklodowska-Curie Bialystok Oncology Center, Bialystok, Poland.
³¹ Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Lodz, Poland.
³² Department of Interventional Cardiology and Angiology, National Institute of Cardiology, Warszawa, Poland.
³³ Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
³⁴ Department of Cardiology, Medical Uniwersity of Lublin, Lublin, Poland.
³⁵ Department of Invasive Cardiology, Medical University of Lodz, Lodz, Poland.

PMID: 35514089
PMCID: PMC9273237
DOI: 10.5603/CJ.a2022.0026

No abstract available

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: Jacek Kubica: lecture fees from AstraZeneca, Bayer; Piotr Adamski: none; Jerzy R. Ładny: none; Jarosław Kaźmierczak: none; Tomasz Fabiszak: none; Krzysztof J. Filipiak: lecture fees from Adamed, AstraZeneca, Sanofi Aventis; Robert Gajda: none; Mariusz Gąsior: lecture fees from AstraZeneca; Zbigniew Gąsior: none; Robert Gil: none; Jarosław Gorący: lecture fees from Astra-Zeneca; Stefan Grajek: none; Leszek Gromadziński: none; Marcin Gruchała: none; Grzegorz Grześk: none; Piotr Hoffman: none; Miłosz J. Jaguszewski: speaking fees and travel grants from: Boheringer Ingelheim, Bayer, AstraZeneca, and Pfizer outside the submitted work; Marianna Janion: none; Piotr Jankowski: lecture fees, conference and scientific grants from Amgen, Boehringer Ingelheim, KRKA, Novartis, Novo Nordisk, Pfizer, Sanofi, Servier, Teva, Zentiva; Zbigniew Kalarus: none; Jarosław D. Kasprzak: lecture fees from Aflofarm, Polpharma, AstraZeneca, research grants from Aflofarm; Andrzej Kleinrok: none; Wacław Kochman: none; Aldona Kubica: none; Wiktor Kuliczkowski: none; Jacek Legutko: lecture fees from AstraZeneca, Berlin-Chemie Menarini, Gedeon Richter; Maciej Lesiak: lecture fees from AstraZeneca, Gedeon Richter; Klaudiusz Nadolny: none; Eliano P. Navarese: none; Piotr Niezgoda: none; Małgorzata Ostrowska: none; Przemysław Paciorek: none; Jolanta Siller-Matula: none; Łukasz Szarpak: none; Dariusz Timler: none; Adam Witkowski: lecture fees from AstraZeneca, Bayer, Boehringer Ingelheim, Pfizer; Wojciech Wojakowski: lecture fees from Astra-Zeneca, Pfizer, Boehringer Ingelheim; Andrzej Wysokiński: none; Marzenna Zielińska: none.

Figures

**Figure 1**
Algorithm for pre-hospital management of acute coronary syndromes (ACS); ASA — acetylsalicylic acid; ECG — electrocardiography; LD — loading dose; NSTE-ACS — non-ST-segment elevation acute coronary syndrome; PCI — percutaneous coronary intervention; SaO₂ — saturation of oxygen; STEMI — ST-segment elevation myocardial infarction; UFH — unfractionated heparin.

See this image and copyright information in PMC

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Pre-hospital treatment of patients with acute coronary syndrome: Recommendations for medical emergency teams. Expert position update 2022

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Pre-hospital treatment of patients with acute coronary syndrome: Recommendations for medical emergency teams. Expert position update 2022

Authors

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Conflict of interest statement

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