Does transport to primary angioplasty reduce the combined clinical end-point of death, reinfarction, or stroke at 30 days in patients with acute myocardial infarction presenting to a community hospital without a catheterization laboratory compared to immediate thrombolysis?
Patients with acute myocardial infarction presenting to a community hospital without a catheterization laboratory
Transport to a tertiary angioplasty centre for primary angioplasty
Immediate standard thrombolytic therapy at the community hospital
Combined clinical end-point of death/reinfarction/stroke at 30 dayscomposite
Transferring patients with acute myocardial infarction from community hospitals to tertiary centers for primary angioplasty is safe and significantly reduces the 30-day composite of death, reinfarction, or stroke compared to onsite thrombolysis.
Transferring patients from community hospitals to a tertiary angioplasty centre in the acute phase of myocardial infarction is feasible and safe. This strategy is associated with a significant reduction in the incidence of reinfarction and the combined clinical end-point of death/reinfarction/stroke at 30 days when compared to standard thrombolytic therapy at the community hospital.
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Petr Widimský (Mon,) studied this question.
synapsesocial.com/papers/69d9dacc0d540cafc5837c85 — DOI: https://doi.org/10.1053/euhj.1999.1993
Petr Widimský
Interventional Cardiology
European Heart Journal
University Hospital Kralovske Vinohrady
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