Kardiol Pol
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Early reperfusion therapy with primary percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) improves left ventricular function and reduces mortality. ⋯ In the interventional centre located near the centre of Warsaw symptom-onset-to-door time was 120 minutes only in 18% of patients with STEMI. Almost 70% of patients underwent interhospital transfer for primary PCI. Prolongation of the time from onset of symptoms to successful PCI worsened prognosis. When transporting patients with acute coronary syndrome, efforts should be made to avoid district hospitals without a catheterisation laboratory. Direct transportation by ambulance or helicopter with educated staff equipped with ECG teletransmission data, which may substantially shorten time to treatment, should be preferred.
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Case Reports
[Patient with purulent pericarditis caused by Salmonella enteritidis complicated by tamponade].
We report a case of a 64-year-old male patient with a history of advanced chronic heart failure, who was admitted to our hospital with symptoms of decompensated right heart failure. Chronic tamponade was diagnosed and conservative treatment was administered. Due to the lack of improvement, surgical drainage of the pericardial sack was performed and Salmonella enteritidis was cultured from the pericardial fluid. After a month the patient fully recovered and was discharged.