Why the study?
Is acute transfer for rescue PTCA or primary PTCA safe and feasible compared to thrombolysis in patients with extensive myocardial infarction admitted to a hospital without PTCA facilities?
Is acute transfer for rescue PTCA or primary PTCA safe and feasible compared to thrombolysis in patients with extensive myocardial infarction admitted to a hospital without PTCA facilities?
Acute transfer for rescue or primary PTCA is feasible and safe for patients with extensive MI presenting to non-PTCA hospitals, though efficacy requires larger trials.
Supports acute transfer for PTCA at non-PCI hospitals in extensive MI; extends options beyond thrombolysis while leaving efficacy open.
Acute transfer for rescue PTCA or primary PTCA in patients with extensive myocardial infarction is feasible and safe. Efficacy of rescue PTCA or primary PTCA in this setting will have to be tested in larger series before this approach can be implemented as "routine treatment" for patients with extensive myocardial infarction.
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Vermeer et al. (1999) studied this question.