[ANMCO Position paper: Functional reorganization of cardiac intensive care units (CICUs) in Italy]. in Giornale italiano di cardiologia (2006) / G Ital Cardiol (Rome). 2025 Feb;26(2):123-132. doi: 10.1714/4418.44144.
2025
AO Cuneo
ASL Alessandria
ASL Città di Torino
ASL Torino 3
AOU Città della Salute di Torino
Tipo pubblicazione
Journal Article
Autori/Collaboratori (32)Vedi tutti...
Grimaldi M
U.O.C. Cardiologia-UTIC, Ospedale Miulli, Acquaviva delle Fonti (BA).
Oliva F
Cardiologia 1-Emodinamica, Dipartimento Cardiotoracovascolare "A. De Gasperis", ASST Grande Ospedale Metropolitano Niguarda, Milano - Fondazione per il Tuo cuore - Heart Care Foundation, Firenze - Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO), Firenze.
Gulizia MM
U.O.C. Cardiologia, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione "Garibaldi", Catania.
et alii...
Abstract
Recently, cardiac intensive care units (CICUs) have undergone a significant transformation related to the evolution in management of acute coronary syndrome and influenced by other factors such as the epidemiological transition, the increasing complexity of clinical cases, the technological advancement, and the growth of clinical and scientific expertise of cardiologists. In the context of this evolution, a functional reorganization of CICUs in Italy has to be implemented in order to meet the changing needs of the population with cardiovascular disease requiring critical care. Therefore, the Italian Association of Hospital Cardiologists (ANMCO) proposes this position paper for the reorganization of CICUs into three levels with increasing functional complexity, based on the hospital characteristics, the available technology, and clinical cases treated. The system would be functionally integrated into a regional CICU organization modeled on a time-dependent care network. This proposed network aims to standardize diagnostic and therapeutic protocols and establish unified data collection registries to facilitate self-assessment and support clinical research. The document delineates specific requirements for each CICU level, including the management of clinical cases, the expertise of intensive care cardiologists, the technological facilities, and the medical and nursing staff needed to ensure optimal care delivery.
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PMID : 39898743
DOI : 10.1714/4418.44144
Keywords
Coronary Care Units/organization & administration; Cardiovascular Diseases/therapy; Societies, Medical; Acute Coronary Syndrome/therapy; Critical Care/organization & administration; Cardiology; Humans; Italy;