A 51-year-old patient experiencing an acute myocardial infarction received synchronized telemedicine-guided thrombolytic therapy at the Cardiovascular Node of the Burruyacú Hospital in Tucumán, Argentina, according to the Ministry of Public Health. The intervention highlights how regional healthcare networks manage time-dependent cardiovascular emergencies when primary angioplasty cannot be performed within recommended windows. Staff established immediate contact with a cardiologist from the Red Cardiovascular Emergencies Program, who coordinated a transfer to the Cardiovascular Node of the Burruyacú Hospital. According to hospital logs, the man entered the facility at 14:34 local time, roughly one hour after the onset of oppressive precordial pain rated 9/10 on a pain scale, with radiation to the neck and left upper limb. Dr. Facundo López performed an electrocardiogram upon arrival, identifying an inferior-wall acute myocardial infarction. Dr. Leonardo Achá, a cardiologist with the Red Cardiovascular Emergencies Program, confirmed the diagnosis and activated a thrombolytic treatment protocol. Through a synchronized videoconference, the medical team at the Burruyacú Hospital received direct guidance to administer Tenecteplasa, a medication designed to dissolve blood clots and restore coronary blood flow. Nurse Belén Ledesma assisted in the procedure alongside Dr. López. Following the intravenous bolus administration of the medication, the patient experienced a favorable clinical response. His precordial pain dropped significantly from a 9/10 severity down to 3/10.
### Coordinated Inter-Hospital Transfer
Dr. Achá subsequently activated an assisted sanitary transfer to move the patient to the Coronary Unit at the Centro de Salud Hospital. There, the patient received specialized follow-up care. Dr. Esteban Fonollat, director of the Burruyacú Hospital, emphasized that coordinating across different levels of care allows medical teams to make real-time decisions for high-complexity cardiovascular pathologies. The intervention forms part of a broader provincial strategy overseen by Public Health Minister Dr. Luis Medina Ruiz and provincial leadership, including governor Osvaldo Jaldo. The network aims to reduce elapsed time between symptom onset, diagnosis, and treatment to improve survival rates and long-term prognoses for patients experiencing cardiac emergencies.
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