Abstract
The mortality rate from ST elevation myocardial infarction (STEMI) varies in European countries, from 6 to 14%. Timely established diagnosis and urgent reperfusion therapy, primarily by primary percutanous intervention with stent implantation (pPCI) in an infarct related artery is essential for mortality reduction and prevention of complications. European Society of Cardiology has made recommendations for preferred and acceptable time frames for diagnosis and therapy of STEMI. The preferred time for diagnosis of STEMI from the first medical contact (FMC) is = 10 min. From the FMC to balloon inflation in the infarct related artery (reperfusion) maximal accepted time is 120 min. If that time frame cannot be reached, fibinolysis is indicated. In order to ameliorate the treatment of these patients, STEMI network has been established in the European countries, including Serbia. Serbia has 12 primary PCI hospitals and, in spite of numerous obstacles, more than 4000 pPCI procedures have been performed during 2015.
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