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Describes a clinical scenario of a 58-year-old man with STEMI presenting to a non-PCI capable hospital requiring transfer for primary PCI.
A 58-year-old man has chest pain at 9:30 a.m.; 3 hours later, he calls for an ambulance. Paramedics arrive, provide standard treatment, and transport him to the nearest emergency department. On his arrival at a small hospital at 1 p.m., the findings are diagnostic of a myocardial infarction with ST-segment elevation. The emergency department physician recommends immediate transfer to a hospital 1 hour away for primary percutaneous coronary intervention (PCI).
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Keeley et al. (2007) studied this question.
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