ABC | Volume 114, Nº1, January 2019

Original Article Aimoli & Miranda STEMI Management by Recently Graduated Physicians Arq Bras Cardiol. 2020; 114(1):35-44 Figure 2 – Frequency histogram showing the general score distribution obtained by the recently graduated physicians during practical assessment in the simulated station of STEMI medical care. 100 80 60 40 20 0 0 1 2 3 4 5 6 7 8 9 10 Overall performance Frequency (%) Median Figure 3 – Bars graphic showing the performance of the recently graduated physicians in each of the six items of the cheklist related directly to the treatment during practical assessment in the simulated station of STEMI medical care. 80 60 40 20 0 80 100 60 40 20 0 80 60 40 20 0 80 60 40 20 0 80 60 40 20 0 60 40 20 0 Yes Requests ECG monitoring Administers acetylsalicylic acid Administers SL nitrate Administers morphine for pain relief Percentage (%) Administers second antiplatelet agent (p2y12 inhibitor) Requests venous access device insertion Porcentagem (%) Porcentagem (%) Porcentagem (%) Porcentagem (%) Porcentagem (%) Porcentagem (%) No Yes No Yes No Yes No Yes No Yes No received primary angioplasty and 25.3% received fibrinolytic therapy. 10 Several factors contribute to this reduced number of patients who receive reperfusion therapy in Brazil. However, one of these factors refers to the lack of recognition and inappropriate management by newly graduated physicians in primary care. It is unlikely that a STEMI will not be identified by a cardiologist, but a less experienced doctor may have difficulties. On the other hand, a patient with STEMI is more likely to be assisted 39