Missed Opportunity for Fibrinolysis in ST-Segment–Elevation Myocardial Infarction: The Nationwide France-PCI Registry

Key Points

• To evaluate the prevalence of missed fibrinolysis in early presenters with STEMI undergoing delayed PPCI.
• Analysis of the nationwide France-PCI registry data
• Assessment of delayed PPCI in eligible patients
• Focus on pre-hospital triage processes
• Examination of guideline adherence for reperfusion
• Over half of the delayed PPCI cases represented missed fibrinolysis opportunities
• Identified gaps indicate systemic issues in pre-hospital care
• Need for routine audits to improve quality metrics in STEMI care