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Archivos de cardiología de México

versión On-line ISSN 1665-1731versión impresa ISSN 1405-9940


PINA-REYNA, Yigal et al. Care of acute coronary syndromes during the health contingency due to a SARS-CoV-2 outbreak. Arch. Cardiol. Méx. [online]. 2020, vol.90, suppl.1, pp.33-35.  Epub 24-Mar-2021. ISSN 1665-1731.

The communications accumulated in the last weeks make it clear that there is no agreement to define the best treatment strategy in patients with acute coronary syndrome (SICA). In patients presenting with an acute myocardial infarction with ST-segment elevation (IAMCESST), it has been suggested to favor fibrinolysis (FL) over primary percutaneous coronary intervention (PCI), reserving ICP for cases of failed FL1,2; however, some societies have maintained the indication of the ICPp as the repercussion method of choice3. In SICAs without ST segment elevation (SICASESST) the recommendations are very similar, favoring medical treatment over percutaneous coronary intervention in this subgroup of patients1. Several companies consider the contagion status, particularly in the SICASESST, to decide which repercussion follow3. Anticipating that the epidemiological curve in Mexico will be similar to that observed in most countries, we recommend continuing the care of patients with SICA, the catheterization rooms must maintain their operation.

Palabras llave : Acute coronary syndrome; Health contingency; COVID-19 outbreak.

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