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).
Keeley et al. (Thu,) studied this question.