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
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Figure 1.
Delays in initiation of primary percutaneous coronary intervention (primary PCI) among patients with acute ST elevation myocardial infarction living in catchment areas of local hospitals.
Selected References
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