Primary PCI for myocardial infarction with ST-segment elevation.
@article{Keeley2007PrimaryPF,
title={Primary PCI for myocardial infarction with ST-segment elevation.},
author={Ellen C. Keeley and L. David Hillis},
journal={The New England journal of medicine},
year={2007},
volume={356 1},
pages={
47-54
}
}A 58-year-old man has chest pain at 9:30 a.m.; 3 hours later, he calls for an ambulance. Paramedics arrive, provide standard treatment, and transport him to the nearest emergency department. On his arrival at a small hospital at 1 p.m., the findings are diagnostic of a myocardial infarction with ST-segment elevation. The emergency department physician recommends immediate transfer to a hospital 1 hour away for primary percutaneous coronary intervention (PCI).
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References
SHOWING 1-10 OF 71 REFERENCES
The Case for Community Hospital Angioplasty
- MedicineCirculation
- 2005
Primary percutaneous coronary intervention (PCI) has gained widespread acceptance as the preferred approach for treating ST-segment elevation acute myocardial infarction (STEMI) when it can be performed rapidly at qualified centers, and is particularly beneficial in women and the elderly.
NRMI and current treatment patterns for ST-elevation myocardial infarction.
- MedicineAmerican heart journal
- 2004
Aborted myocardial infarction in patients with ST-segment elevation: insights from the Assessment of the Safety and Efficacy of a New Thrombolytic Regimen-3 Trial Electrocardiographic Substudy.
- MedicineJournal of the American College of Cardiology
- 2004
Impact of Renal Insufficiency in Patients Undergoing Primary Angioplasty for Acute Myocardial Infarction
- MedicineCirculation
- 2003
Baseline RI in patients with AMI undergoing primary PCI is associated with a markedly increased risk of mortality, as well as bleeding and restenosis, and novel approaches are needed to improve the otherwise poor prognosis of patients with RI and AMI.
Management of acute myocardial infarction in patients presenting with ST-segment elevation. The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology.
- MedicineEuropean heart journal
- 2003
The Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology is a group of doctors from around the world concerned with the management of acute myocardial infarction.
Transfer for Primary Angioplasty Versus Immediate Thrombolysis in Acute Myocardial Infarction: A Meta-Analysis
- MedicineCirculation
- 2003
Background—The benefit of primary percutaneous coronary intervention (PCI) over thrombolysis has been clearly demonstrated in acute myocardial infarction (AMI). However, the best therapeutic strategy…
Unsuccessful reperfusion in patients with ST-segment elevation myocardial infarction treated by primary angioplasty.
- MedicineAmerican heart journal
- 2005
The significance of persistent ST elevation versus early resolution of ST segment elevation after primary PTCA.
- MedicineJournal of the American College of Cardiology
- 1999
Driving Times and Distances to Hospitals With Percutaneous Coronary Intervention in the United States: Implications for Prehospital Triage of Patients With ST-Elevation Myocardial Infarction
- Medicine, Political ScienceCirculation
- 2006
Nearly 80% of the adult population in the United States lived within 60 minutes of a PCI hospital in 2000, and even among those living closer to non-PCI hospitals, almost three fourths would experience <30 minutes of additional delay with direct referral to a PCIhospital, which suggests that such a strategy might be feasible for these individuals.
