Why the study?
Despite improvements in timely PCI access and declining morbidity and mortality, significant barriers and challenges persist across critical junctures in the STEMI system of care.
This AHA policy statement provides comprehensive recommendations for optimizing STEMI systems of care across all stages, from pre-hospital activation to post-acute care.
The introduction of Mission: Lifeline significantly increased timely access to percutaneous coronary intervention for patients with ST-segment-elevation myocardial infarction (STEMI). In the years since, morbidity and mortality rates have declined, and research has led to significant developments that have broadened our concept of the STEMI system of care. However, significant barriers and opportunities remain. From community education to 9-1-1 activation and emergency medical services triage and from emergency department and interfacility transfer protocols to postacute care, each critical juncture presents unique challenges for the optimal care of patients with STEMI. This policy statement sets forth recommendations for how the ideal STEMI system of care should be designed and implemented to ensure that patients with STEMI receive the best evidence-based care at each stage in their illness.
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A 2021 study studied this question.
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