Does long distance transport for primary angioplasty reduce mortality compared to immediate thrombolysis in patients with acute myocardial infarction?
Transporting AMI patients to a PCI center for primary angioplasty is safe and reduces mortality compared to immediate thrombolysis, particularly for those presenting >3 hours after symptom onset.
Long distance transport from a community hospital to a tertiary PCI centre in the acute phase of AMI is safe. This strategy markedly decreases mortality in patients presenting >3 h after symptom onset. For patients presenting within <3 h of symptoms, TL results are similar results to long distance transport for PCI.
Petr Widimský (Wed,) studied this question.