Key result
Regional centers of excellence and systems of care for STEMI patients are reviewed to address the challenges of delivering timely primary percutaneous coronary intervention.
This review discusses the rationale and challenges of developing regional systems of care and centers of excellence for STEMI patients to facilitate timely primary percutaneous coronary intervention.
May inform regional STEMI network organization; leaves open prospective outcome validation before practice change.
Evidence from randomized controlled clinical trials and registries suggest that primary percutaneous coronary intervention provides superior clinical outcomes when compared with fibrinolytic therapy for the treatment of ST segment elevation myocardial infarction (STEMI). However, the delivery of expert and timely primary percutaneous coronary intervention to the majority of patients with STEMI is extremely challenging. This objective has fueled the concept of regional centers of excellence for the care of patients with STEMI as well as regional STEMI networks similar to those currently available for trauma or stroke victims. This article reviews the rationale behind, as well as the issues inherent to, the development of systems of care for STEMI patients.
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Dean J. Kereiakes (2008) conducted a review in ST segment elevation myocardial infarction (STEMI). Systems of care for STEMI patients was evaluated. Regional centers of excellence and systems of care for STEMI patients are reviewed to address the challenges of delivering timely primary percutaneous coronary intervention.
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