Delay From First Medical Contact to Primary PCI and All‐Cause Mortality: A Nationwide Study of Patients With ST‐Elevation Myocardial Infarction
Why the study?
Does a delay from First Medical Contact to Primary PCI of more than 1 hour increase all-cause mortality in patients with ST-Elevation Myocardial Infarction?
Population
Patients with ST-Elevation Myocardial Infarction (STEMI) in a nationwide study
Comparison
Delay from First Medical Contact to Primary PCI… vs FMC-to-PCI time of less than 1 hour
Design
Cohort
Authors
Discussion
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Member takes
Implication
May support targeting FMC-to-PCI <1 h in STEMI; leaves open causality and optimal thresholds pending randomized data.
Structured PICO
Does a delay from First Medical Contact to Primary PCI of more than 1 hour increase all-cause mortality in patients with ST-Elevation Myocardial Infarction?
P
Population
Patients with ST-Elevation Myocardial Infarction (STEMI) in a nationwide study
I
Intervention
Delay from First Medical Contact (FMC) to Primary PCI of more than 1 hour
C
Comparator
FMC-to-PCI time of less than 1 hour
O
Outcome
All-cause mortalityhard clinical
Achieving a First Medical Contact to Primary PCI time of less than 1 hour may save lives in patients with STEMI by reducing severe heart failure and mortality.
Cite This Study
Koul et al. (2014) studied this question.