Total ischemic time: the correct focus of attention for optimal ST-segment elevation myocardial infarction care.

@article{Denktas2011TotalIT,
  title={Total ischemic time: the correct focus of attention for optimal ST-segment elevation myocardial infarction care.},
  author={Ali Denktas and H. Vernon Anderson and James McCarthy and Richard W. Smalling},
  journal={JACC. Cardiovascular interventions},
  year={2011},
  volume={4 6},
  pages={599-604}
}
Currently accepted standards for gauging quality of care in the treatment of ST-segment elevation myocardial infarction (STEMI) mainly focus on shortening the time to treatment after the patient arrives at the hospital. But this narrow focus fails to consider the substantial duration of myocardial ischemia that exists prior to hospital arrival, and the large number of deaths that occur during the pre-hospital period. The time from symptom onset until reperfusion occurs is one estimate of total… CONTINUE READING