Abstract
Time is a key factor when tackling acute coronary diseases and syndromes. The current organization of health services means that the first minutes of care are not carried out in cardiology rooms and do not depend on cardiologists. Instead they take place in the pre-hospital setting of emergency medical services (EMS) and in hospital accident and emergency services (A&E) and in the first phase this attention is provided by emergency doctors. Therefore, to obtain the best possible result for the patient it is necessary that there should be extensive two-way collaboration between cardiologists and emergency service doctors. This article analyzes these needs and tries to identify areas of improvement in two of the most frequent acute coronary processes: acute coronary syndrome and acute cardiac insufficiency.
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