Abstract
Close, but not close enough.
Highlights
The most recent European Society of Cardiology (ESC) guidelines recommend primary percutaneous coronary intervention (PCI) as the preferred treatment for ST-segment elevation myocardial infarction (STEMI) whenever it is available within 90–120 min of the first medical contact [1]
What is more interesting is the significant difference between time of symptom onset and diagnosis, which is roughly 30 min shorter in patients picked up by ambulances with field triage capabilities versus those referred first to hospitals without primary PCI facilities. It is precisely this 30-minute delay that proved to result in an 8 % relative increase in 1-year mortality in STEMI patients [4]
Postma et al assess the impact of residential distance on time to treatment in STEMI patients
Summary
The most recent European Society of Cardiology (ESC) guidelines recommend primary percutaneous coronary intervention (PCI) as the preferred treatment for ST-segment elevation myocardial infarction (STEMI) whenever it is available within 90–120 min of the first medical contact [1]. What is more interesting is the significant difference between time of symptom onset and diagnosis, which is roughly 30 min shorter in patients picked up by ambulances with field triage capabilities versus those referred first to hospitals without primary PCI facilities (spoke hospitals).
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