National Emergency Care Policy (PNAU) |
Luz et al.99. Luz CC, Junger WL, Cavalini LT. Analysis of Prehospital Care for Stroke and Acute Myocardial Infarction in the Elderly Population of Minas Gerais, Brazil. Rev Assoc Med Bras. 2010;56(4):452-6. doi: 10.1590/s0104-42302010000400019. https://doi.org/10.1590/s0104-4230201000...
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Objective: To promote the reorganization of health care. To reduce hospitalizations and deaths due to conditions for which pre-hospital care is effective. |
137 municipalities in Minas Gerais |
Stroke AMI |
Emergency Care Units (UPA) |
Santos1010. Santos KKS. Efeito das Unidades de Pronto Atendimento (UPAs) na Mortalidade por Infarto Agudo do Miocárdio nas Capitais e Regiões Metropolitanas do Brasil [dissertation]. Recife: Universidade Federal de Pernambuco; 2015. |
Implementation: Most states started implementing UPAs from 2010 |
358 municipalities located in all geographic regions of the country |
AMI |
SAMU |
Oliveira et al.1111. Oliveira CCM, Novaes HMD, Alencar AP, Santos IS, Damasceno MCT, Souza HP. Effectiveness of the Mobile Emergency Medical Services (SAMU): Use of Interrupted Time Series. Rev Saude Publica. 2019;53:99. doi: 10.11606/s1518-8787.2019053001396. https://doi.org/10.11606/s1518-8787.2019...
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Implementation: SAMU was created in 2003. It was implemented in 2004 in the municipality of Santo André, expanding to other municipalities in the “ABC” region between 2004 and 2005
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Objective: Provide mobile pre-hospital emergency care service
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São Paulo “ABC” Region |
AMI |
Sawaya Neto et al.1818. Sawaya M Neto, Menezes ASM Neto. Avaliação do Impacto do SAMU sobre Indicadores de Urgência: O Caso das Proporções de Mortes Hospitalares por Infarto Agudo do Miocárdio em Municípios de Médio e Grande Porte. In: Resende GM (editor). Avaliação de Políticas Públicas no Brasil: Uma Análise de Seus Impactos Regionais. Brasília: Instituto de Pesquisa Econômica Aplicada; 2014. |
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Implementation: SAMU was implemented in 2003 and made official in 2004
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Objective: SAMU is integral to the mobile pre-hospital component of the Emergency Care Network (RAU) and aims to decrease mortality rates, minimize the incidence of complications, and reduce hospital admission costs across various illnesses. By decreasing hospitalization durations, SAMU serves as a primary tool in emergency networks for optimizing response times.
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Entity responsible for implementing the initiative: Brazilian Ministry of Health
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National |
AMI |
Brasileiro1919. Brasileiro AL. SAMU-192 and the Prehospital Approach to Acute Myocardial Infarction in Brazil: Hope for Patients or One More Missed Opportunity? Arq Bras Cardiol. 2007;88(2):44-6. doi: 10.1590/s0066-782x2007000200023. https://doi.org/10.1590/s0066-782x200700...
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Implementation: SAMU was created by the Ministry of Health in 2003 through ordinance 1,864, dated September 29, 2003 |
Not informed |
AMI |
Minas Telecardio 2 Project |
Marino et al.1212. Marino BC, Marcolino MS, Reis RS Jr, França AL, Passos PF, Lemos TR, et al. Epidemiological Profile and Quality Indicators in Patients with Acute Coronary Syndrome in Northern Minas Gerais - Minas Telecardio 2 Project. Arq Bras Cardiol. 2016;107(2):106-15. doi: 10.5935/abc.20160095. https://doi.org/10.5935/abc.20160095...
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Objective: To implement the AMI care line in the Expanded North Region of MG, in accordance with ordinance 2,994, dated December 2011 from the Ministry of Health
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Entity responsible for implementing the initiative: Telecare Network of Minas Gerais, a partnership of six public universities in Minas Gerais coordinated by the Hospital das Clínicas of the Federal University of Minas Gerais
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Northern Region of Minas Gerais |
AMI |
Cardiology Telemedicine Program |
Souza et al.1313. Souza CFQ, Oliveira DG, Santana ADDS, Mulatinho LM, Cardoso MD, Pereira EBFE, et al. Evaluation of Nurse's Performance in Telemedicine. Rev Bras Enferm. 2019;72(4):933-39. doi: 10.1590/0034-7167-2018-0313. https://doi.org/10.1590/0034-7167-2018-0...
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Objective: Through telemedicine, the program aims to guide the requesting unit regarding the appropriate conduct for the patient being treated. |
Pernambuco |
AMI |
Acute Myocardial Infarction Care Line |
Marcolino et al.1414. Marcolino MS, Brant LCC, Araújo JG, Nascimento BR, Castro LRA, Martins P, et al. Implantação da Linha de Cuidado do Infarto Agudo do Miocárdio no Município de Belo Horizonte. Arq Bras Cardiol,2013. 100 (4), 307-14. doi: 10.5935/abc.20130054. https://doi.org/10.5935/abc.20130054...
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Belo Horizonte - Minas Gerais |
AMI |
Integrated regional networks for the treatment of ST-segment elevation myocardial infarction (Regional STEMI Network) |
Filgueiras Filho et al.1515. Filgueiras NM Filho, Feitosa GS Filho, Solla DJ, Argôlo FC, Guimarães PO, Paiva IM Filho, et al. Implementation of a Regional Network for ST-Segment-Elevation Myocardial Infarction (STEMI) Care and 30-Day Mortality in a Low- to Middle-Income City in Brazil: Findings From Salvador's STEMI Registry (RESISST). J Am Heart Assoc. 2018;7(14):e008624. doi: 10.1161/JAHA.118.008624. https://doi.org/10.1161/JAHA.118.008624...
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Not informed |
Salvador - Bahia |
AMI |
Solla et al.2020. Solla DJ, Paiva IM Filho, Delisle JE, Braga AA, Moura JB, Moraes Xd Jr, et al. Integrated Regional Networks for ST-segment-elevation Myocardial Infarction Care in Developing Countries: The Experience of Salvador, Bahia, Brazil. Circ Cardiovasc Qual Outcomes. 2013;6(1):9-17. doi: 10.1161/CIRCOUTCOMES.112.967505. https://doi.org/10.1161/CIRCOUTCOMES.112...
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Implementation: 2009
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Objective: To increase rates of reperfusion therapy, to maintain the lowest possible Door-to-Balloon and Door-to-Needle Times, and ultimately to reduce morbidity and mortality associated with ST-segment elevation myocardial infarction (STEMI)
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Salvador - Bahia |
AMI |
The National Stroke Project |
Martins et al.1616. Martins SC, Pontes-Neto OM, Alves CV, Freitas GR, Oliveira J Filho, Tosta ED, et al. Past, Present, and Future of Stroke in Middle-income Countries: The Brazilian Experience. Int J Stroke. 2013;8(Suppl 100):106-11. doi: 10.1111/ijs.12062. https://doi.org/10.1111/ijs.12062...
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Implementation: 2008
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Objective: The National Stroke Project included a task force of stroke neurologists who founded the Brazilian Stroke Network, aiming to provide scientific support for the establishment of a national network to improve stroke awareness, education, care, and research throughout the country
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National |
Stroke |
Training Program for non-cardiologists |
Cesar et al.1717. Cesar LAM, Mansur AP, Ramos RF, Magalhães C, Ferreira JFM, Mioto BM, et al. Training Non-Cardiologists Could Improve the Treatment Results of ST Elevation Myocardial Infarction. Arq Bras Cardiol. 2021;117(6):1073-8. doi: 10.36660/abc.20200180. https://doi.org/10.36660/abc.20200180...
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Sao Paulo, SP |
AMI |
Good Practices in the Cardiology Program |
Passaglia et al.2121. Passaglia LG, Cerqueira MLR, Pires MM, Chagas LV, Érika CTC, Rodrigues ENO, et al. Cardiovascular Statistics from the Good Practices in Cardiology Program - Data from a Brazilian Tertiary Public Hospital. Arq Bras Cardiol. 2023;120(2):e20220247. doi: 10.36660/abc.20220247. https://doi.org/10.36660/abc.20220247...
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Objective: To evaluate the rate of adherence to the Brazilian Society of Cardiology guidelines, as well as to evaluate the results of implementing a quality program on clinical outcomes of patients hospitalized for CVD
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Entity responsible for implementing the initiative: Brazilian Cardiology Association (SBC) and the Ministry of Health, together with the American Heart Association and in collaboration with the Hospital do Coração de São Paulo - Hcor
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Minas Gerais |
Acute coronary syndrome Heart failure |
Bertoletti2222. Bertoletti OA. Good Practices In Cardiology - A Lesson From Performance Indicators. Arq Bras Cardiol. 2023;120(2):e20230033. doi: 10.36660/abc.20230033. https://doi.org/10.36660/abc.20230033...
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Objective: By adapting the American Heart Association's Get With The Guidelines program, the initiative aims to lower hospital mortality rates, enhance hospital procedures — with a specific emphasis on safety and quality of care for cardiology patients — and acknowledge hospitals achieving excellence in cardiology as designated centers.
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Entity responsible for implementing the initiative: Brazilian Society of Cardiology (SBC) in partnership with the Brazilian Ministry of Health and support from the American Heart Association (AHA) and Hcor
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Minas Gerais |
Acute coronary syndrome Atrial fibrillation Heart failure |