Why the study?
Does primary percutaneous coronary intervention (pPCI) after transportation improve 30-day mortality compared to on-site thrombolysis in women with STEMI?
Population
1,050 patients with ST elevation myocardial infarction from the PRAGUE-1 and PRAGUE-2 trials.
Comparison
Primary percutaneous coronary intervention after… vs On-site thrombolysis (TL) in a community hospital.
Design
Cohort
Follow-up
30 days
Authors
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No gender difference in pPCI mortality supports equitable transport decisions; leaves open sex-specific risks in broader contemporary cohorts.
Does primary percutaneous coronary intervention (pPCI) after transportation improve 30-day mortality compared to on-site thrombolysis in women with STEMI?
Long-distance transportation of women with STEMI to a tertiary center for primary PCI significantly reduces 30-day mortality compared to on-site thrombolysis, neutralizing the higher baseline risk typically seen in female patients.
Moťovská et al. (2007) studied this question.
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