<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-0705</journal-id>
<journal-title><![CDATA[Nova scientia]]></journal-title>
<abbrev-journal-title><![CDATA[Nova scientia]]></abbrev-journal-title>
<issn>2007-0705</issn>
<publisher>
<publisher-name><![CDATA[Universidad de La Salle Bajío A. C., Coordinación de Investigación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-07052020000100017</article-id>
<article-id pub-id-type="doi">10.21640/ns.v12i24.2122</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de la asistencia en red para infarto agudo al miocardio en la región del Bajío, México]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of the network assistance for acute myocardial infarction in the Bajio, Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[Martha Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarrete Becerra]]></surname>
<given-names><![CDATA[Kristian Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amador-Licona]]></surname>
<given-names><![CDATA[Norma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borrayo Sánchez]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal Ruiz]]></surname>
<given-names><![CDATA[Enrique Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solorio Meza]]></surname>
<given-names><![CDATA[Sergio Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Unidad Médica de Alta Especialidad 1 ]]></institution>
<addr-line><![CDATA[León Guanajuato]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad De La Salle Bajío Escuela de Educación y Desarrollo Humano ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>12</volume>
<numero>24</numero>
<fpage>0</fpage>
<lpage>0</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-07052020000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-07052020000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-07052020000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Debido a la reciente implementación del sistema de red para la atención de pacientes con infarto agudo de miocardio con elevación del ST (IAM CEST) en México, el objetivo de este estudio fue comparar la mortalidad de estos pacientes por eventos cardiovasculares, la mortalidad general, tiempos de atención y complicaciones agudas en el año previo a la implementación del sistema y en el año posterior a la misma en el Instituto Mexicano del Seguro Social del estado de Guanajuato.  Método:  Estudio ecológico que comparó las bases de datos para evaluar la mortalidad general, por eventos cardiovasculares y complicaciones de los pacientes con IAM CEST en el año pre (2016, n=142) y post (2017, n=123) implementación del &#8220;código infarto&#8221; de pacientes en la región del Bajío, que recibieron Intervención Coronaria Percutánea.  Resultados:  Se identificó una disminución significativa después de inicio del &#8220;código infarto&#8221; en el total de eventos mayores (27.4% vs. 11.3%; p = 0.001) y en la presencia de insuficiencia cardiaca (11.2% vs. 0.8%; p = 0.006); pero sin diferencia específica en la muerte no cardiaca, en la presentación de angina, arritmias no fatales, o necesidad de revascularización entre los grupos.  Discusión o Conclusión:  La implementación del &#8220;código infarto&#8221; en la región del Bajío, México, tiene efectos benéficos en los eventos mayores cardiovasculares y presentación de insuficiencia cardiaca.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Due to the recent implementation of the network system for the care of patients with acute myocardial infarction with ST elevation (AMI CEST) in Mexico, the objective of this study was to compare the mortality of these patients due to cardiovascular events, general mortality, attention times and acute complications in the year prior to the implementation of the system and in the year after it in the Instituto Mexicano del Seguro Social in Guanajuato  Method:  Ecological study that compared the databases to evaluate the general mortality, cardiovascular events and complications of patients with AMI CEST in the year before (2016, n = 142) and post (2017, n = 123) implementation of the "infarction code" of patients in the Bajio region, who received Percutaneous Coronary Intervention.  Results:  A significant decrease was identified after the beginning of the "infarction code" in the total of major events (27.4% vs. 11.3%, p = 0.001) and in the presence of heart failure (11.2% vs. 0.8%, p = 0.006); but with no specific difference in non-cardiac death, in the presentation of angina, non-fatal arrhythmias, or the need for revascularization between the groups.  Discussion or Conclusion:  The implementation of the "infarction code" in the Bajio region, Mexico, has beneficial effects in major cardiovascular events and presentation of heart failure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[intervención coronaria percutánea]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[eventos cardiovasculares mayores]]></kwd>
<kwd lng="es"><![CDATA[infarto agudo al miocardio]]></kwd>
<kwd lng="en"><![CDATA[percutaneous coronary intervention]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[major cardiovascular events]]></kwd>
<kwd lng="en"><![CDATA[acute myocardial infarction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borrayo-Sánchez]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Madrid-Miller]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Arriaga-Nava]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Ramos-Corrales]]></surname>
<given-names><![CDATA[M.A.]]></given-names>
</name>
<name>
<surname><![CDATA[García-Aguilar]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida-Gutiérrez]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Riesgo estratificado de los síndromes coronarios agudos. Resultados del primer Renasca-IMSS]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seguro Soc.]]></source>
<year>2010</year>
<volume>48</volume>
<page-range>259-64</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borrayo-Sánchez]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Rodríguez]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Montañez]]></surname>
<given-names><![CDATA[O.G.]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida-Gutiérrez]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez-Arias]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Estrada-Gallegos]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Palacios-Jiménez]]></surname>
<given-names><![CDATA[N. M.]]></given-names>
</name>
<name>
<surname><![CDATA[Rosas-Peralta]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Arizmendi-Uribe]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Arriaga-Dávila]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Protocolo para atención de infarto agudo de miocardio en urgencias: Código infarto]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seg Soc.]]></source>
<year>2017</year>
<volume>55</volume>
<page-range>233-46</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cequier]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Ariza-Sole]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Elola]]></surname>
<given-names><![CDATA[F.J.]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Pérez]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Segura]]></surname>
<given-names><![CDATA[J.V.]]></given-names>
</name>
<name>
<surname><![CDATA[Iñiguez]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Bertomeu]]></surname>
<given-names><![CDATA[V.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto en la mortalidad de diferentes sistemas de asistencia en red para el tratamiento del infarto agudo de miocardio con elevación del segmento ST. La experiencia de España]]></article-title>
<source><![CDATA[Rev Esp Cardiol.]]></source>
<year>2017</year>
<volume>70</volume>
<page-range>155-61</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dauerman]]></surname>
<given-names><![CDATA[H.L.]]></given-names>
</name>
<name>
<surname><![CDATA[Bates]]></surname>
<given-names><![CDATA[E.R.]]></given-names>
</name>
<name>
<surname><![CDATA[Kontos]]></surname>
<given-names><![CDATA[M.C.]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Garvey]]></surname>
<given-names><![CDATA[J.L.]]></given-names>
</name>
<name>
<surname><![CDATA[Henry]]></surname>
<given-names><![CDATA[T.D.]]></given-names>
</name>
<name>
<surname><![CDATA[Manoukian]]></surname>
<given-names><![CDATA[S.V.]]></given-names>
</name>
<name>
<surname><![CDATA[Roe]]></surname>
<given-names><![CDATA[M.T.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nationwide analysis of patients with ST-Segment-elevation myocardial infarction transferred for primary percutaneous intervention]]></article-title>
<source><![CDATA[Circ Cardiovasc Interv.]]></source>
<year>2015</year>
<numero>8</numero>
<issue>8</issue>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karrowni]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
<name>
<surname><![CDATA[Vyas]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Giacomino]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Schweizer]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Blevins]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Girotra]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Horwitz]]></surname>
<given-names><![CDATA[P.A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Radial versus femoral access for primary percutaneous interventions in ST segment elevation myocardial infarction patients: a meta-analysis of randomized controlled trials]]></article-title>
<source><![CDATA[JACC Cardiovasc Interv.]]></source>
<year>2013</year>
<volume>6</volume>
<page-range>814-23</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="">
<collab>Organización para la Cooperación y el Desarrollo Económicos (OCDE)</collab>
<source><![CDATA[OECD Health Statistics 2018]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="">
<collab>OMS</collab>
<source><![CDATA[Enfermedades cardiovasculares]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Valgimigli]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Gagnor]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Calabró]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Frigoli]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Leonard]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Zaro]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<name>
<surname><![CDATA[Rubartelli]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Briguori]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[And]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Repetto]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Limbruno]]></surname>
<given-names><![CDATA[U.]]></given-names>
</name>
<name>
<surname><![CDATA[Cortese]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<name>
<surname><![CDATA[Sganzerla]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Lupi]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Galli]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Colangelo]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Ierna]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Ausiello]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Presbitero]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Sardella]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Varbella]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
<name>
<surname><![CDATA[Esposito]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Santarelli]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Tresoldi]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Nazzaro]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Zingarelli]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[de Cesare]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Rigattieri]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Tosi]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Palmieri]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Brugaletta]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Rao]]></surname>
<given-names><![CDATA[S.V.]]></given-names>
</name>
<name>
<surname><![CDATA[Heg]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Rothenbühler]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<name>
<surname><![CDATA[Vranckx]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Jüni]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<collab>MATRIX Investigators</collab>
<article-title xml:lang=""><![CDATA[Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomized multicentre trial]]></article-title>
<source><![CDATA[The Lancet]]></source>
<year>2015</year>
<volume>385</volume>
<page-range>2465-76</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
