Article Text
PDFPaper
Myocardial infarction centres: the way forward
Abstract
In the era of primary PCI, a strategy of admitting patients to the nearest hospital should be obsolete. Instead, a prehospital diagnostic strategy should be implemented in order to: (1) refer patients directly to interventional centres, thereby eliminating delay at local hospitals; (2) alert the interventional centre, thereby reducing door to balloon times; (3) initiate adjunctive medication in the prehospital phase
- AMI, acute myocardial infarction
- door-to-balloon time, time from hospital admission until first balloon inflation
- facilitated PCI, thrombolytic therapy followed by acute PCI
- patient delay, time from onset of symptoms until calling for help
- PCI, percutaneous coronary intervention
- STEMI, ST elevation myocardial infarction
- treatment delay, time from symptoms onset until initiation of reperfusion treatment
- Myocardial infarction
- percutaneous coronary intervention