It’s a small world after all

M J De Boer,H Suryapranata

doi:10.1007/s12471-012-0291-9

Abstract

It’s a small world after all

Highlights

The terminology of first, second and third world dates from the times of the cold war and refers to the United States of America and its allies, the old communistic countries including China, and the non-aligned countries, respectively
Experience, logistics and patient characteristics may differ profoundly in different parts of Indonesia, but it was demonstrated that primary percutaneous coronary intervention for ST-elevation myocardial infarction (STEMI) can obtain good results with regard to restoration of TIMI-3 flow in the infarct-related vessel, in a “third world” setting [2, 3]
Many community hospitals do not have the annual PCI volume needed to maintain the skills of the interventionalist and the cardiac catheterization laboratory staff, which is crucial in the treatment of STEMI patients

Summary

Introduction

The terminology of first, second and third world dates from the times of the cold war and refers to the United States of America and its allies, the old communistic countries including China, and the non-aligned countries (among them Indonesia), respectively. Experience, logistics and patient characteristics may differ profoundly in different parts of Indonesia, but it was demonstrated that primary percutaneous coronary intervention (pPCI) for STEMI can obtain good results with regard to restoration of TIMI-3 flow in the infarct-related vessel, in a “third world” setting [2, 3]. Many STEMI patients still receive thrombolytic therapy or no reperfusion at all, owing to the limited availability of pPCI and other resources.

Results

Conclusion