Why the study?
Does long distance transport for primary angioplasty reduce mortality compared to immediate thrombolysis in patients with acute myocardial infarction?
Does long distance transport for primary angioplasty reduce mortality compared to immediate thrombolysis in patients with acute myocardial infarction?
Transporting AMI patients to a PCI center for primary angioplasty is safe and reduces mortality compared to immediate thrombolysis, particularly for those presenting >3 hours after symptom onset.
Favors transfer to PCI centers for AMI patients >3 h from onset; reinforces time-dependent superiority of primary PCI over thrombolysis.
Long distance transport from a community hospital to a tertiary PCI centre in the acute phase of AMI is safe. This strategy markedly decreases mortality in patients presenting >3 h after symptom onset. For patients presenting within <3 h of symptoms, TL results are similar results to long distance transport for PCI.
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Petr Widimský (2003) studied this question.
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