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Mortality benefit of primary transportation to a PCI‐capable center persists through an eight‐year follow‐up in patients with ST‐segment elevation myocardial infarction

Mortality benefit of primary transportation to a PCI‐capable center persists through an... INTRODUCTIONThe benefit of primary transport (PT) of STEMI patients to catherization Laboratory is a well‐known case as documented in multiple studies (Prague 1 and Prague 2, Le May et al, and many others). But the long‐term benefit of PT has not yet been followed.The importance of time management in the treatment of patients with ST‐segment elevation myocardial infarction (STEMI) is stressed both in the American College of Cardiology and the European Society of Cardiology guidelines. PT of a patient with STEMI directly to a Cardiac Center with feasibility of an immediate primary percutaneous coronary intervention (PPCI) rather than to the nearest hospital is recommended.In the real situation, many delays in both pre‐hospital and hospital phases of initial care for patients with STEMI may take place. The prehospital phase comprises “symptom onset—phone” time, which is affected mainly by public education, and “phone—admission to a Cardiac Center” time, which is mainly influenced by the organization network and the quality of a given pre‐hospital emergency medical care system. The hospital phase from admission to opening of the infarction‐related artery, reflected in the door‐to‐balloon time (DBT), is mainly influenced by the activity and organization of the Cardiac Center. Because of the link between http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Interventional Cardiology Wiley

Mortality benefit of primary transportation to a PCI‐capable center persists through an eight‐year follow‐up in patients with ST‐segment elevation myocardial infarction

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References (14)

Publisher
Wiley
Copyright
© 2017 Wiley Periodicals, Inc.
ISSN
0896-4327
eISSN
1540-8183
DOI
10.1111/joic.12419
pmid
28815734
Publisher site
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Abstract

INTRODUCTIONThe benefit of primary transport (PT) of STEMI patients to catherization Laboratory is a well‐known case as documented in multiple studies (Prague 1 and Prague 2, Le May et al, and many others). But the long‐term benefit of PT has not yet been followed.The importance of time management in the treatment of patients with ST‐segment elevation myocardial infarction (STEMI) is stressed both in the American College of Cardiology and the European Society of Cardiology guidelines. PT of a patient with STEMI directly to a Cardiac Center with feasibility of an immediate primary percutaneous coronary intervention (PPCI) rather than to the nearest hospital is recommended.In the real situation, many delays in both pre‐hospital and hospital phases of initial care for patients with STEMI may take place. The prehospital phase comprises “symptom onset—phone” time, which is affected mainly by public education, and “phone—admission to a Cardiac Center” time, which is mainly influenced by the organization network and the quality of a given pre‐hospital emergency medical care system. The hospital phase from admission to opening of the infarction‐related artery, reflected in the door‐to‐balloon time (DBT), is mainly influenced by the activity and organization of the Cardiac Center. Because of the link between

Journal

Journal of Interventional Cardiology – Wiley

Published: Jan 1, 2017

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