Why the study?
Does interhospital transfer for primary percutaneous coronary intervention reduce adverse cardiovascular events compared to immediate thrombolysis in STEMI patients presenting to hospitals without catheterization laboratories?
Population
850 STEMI patients presenting to community hospitals without catheterization laboratories within 12 hours of…
Comparison
Interhospital transfer for primary percutaneous… vs Immediate thrombolysis (TL) in community hospital
Design
RCT, randomized
Follow-up
5 years
Authors
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Supports transfer for p-PCI over thrombolysis in STEMI without on-site labs; extends early benefit to sustained 5-year outcomes.
Does interhospital transfer for primary percutaneous coronary intervention reduce adverse cardiovascular events compared to immediate thrombolysis in STEMI patients presenting to hospitals without catheterization laboratories?
The early clinical benefit of interhospital transfer for primary PCI over immediate thrombolysis in STEMI patients is sustained at 5 years, driven almost exclusively by differences in event rates during the first month.
Widimský et al. (2007) studied this question.
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