Abstract
Background: We performed DPCI for acute STEMI between June 1995 and August 1998 with back-up from a cardiac surgery centre 362 km away. DPCI procedures were provided from 8am to 8pm. Methods: In this analysis, we compared patients who were enrolled in the Post Myocardial Infarction Study and who were treated for first anterior STEMI by DPCI (n= 46) or thrombolysis (TS, n= 108). Patients were excluded from this analysis if they presented in cardiogenic shock, had a past history of myocardial infarction, or received rescue PCI. Results:Medianagewas61yrs (48–68, 25–75thcentile) in theDPCI groupand63 yrs (53–70) in theTSgroup (p= 0.13) and 89% and 75% were men (p= 0.05). Two patients were transferred electively to the surgical centre for observation after PCI but neither received cardiac surgery. Cumulative mortality is presented in the Kaplan–Meier figure below, 19
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