Key result
Hospital strategies and territorial system networks aimed at reducing time windows for primary PCI are discussed to improve clinical outcomes and survival rates.
Reducing the time from symptom onset to balloon inflation through hospital and territorial strategies is crucial for improving survival in STEMI patients undergoing primary PCI.
Review supports STEMI network optimization; leaves open prospective trials to confirm outcome gains.
Percutaneous coronary intervention (PCI) is an effective procedure for re-establishing coronary artery perfusion in ST-segment elevation myocardial infarction. PCI is the preferred therapeutic option when it can be performed by an experienced team within 90-120 min of the first medical contact. Time from the onset of symptoms to balloon inflation seems to correlate directly with mortality rates. We discuss both hospital strategies and territorial system networks aimed at reducing the time windows for primary PCI, thereby improving clinical outcome and survival rates.
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Ortolani et al. (2009) conducted a review in ST-segment elevation myocardial infarction. Strategies to reduce time windows for primary PCI was evaluated. Hospital strategies and territorial system networks aimed at reducing time windows for primary PCI are discussed to improve clinical outcomes and survival rates.
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