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March 15, 2026European Heart Journal - Quality of Care and Clinical Outcomes2 citations

Missed Opportunity for Fibrinolysis in ST-Segment–Elevation Myocardial Infarction: The Nationwide France-PCI Registry

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LDLouis‐Marie DesrocheMDMatthieu DanielÉPÉtienne Puymirat

Key Points

  • To evaluate the prevalence of missed fibrinolysis in early presenters with STEMI undergoing delayed PPCI.
  • Analysis of the nationwide France-PCI registry data
  • Assessment of delayed PPCI in eligible patients
  • Focus on pre-hospital triage processes
  • Examination of guideline adherence for reperfusion
  • Over half of the delayed PPCI cases represented missed fibrinolysis opportunities
  • Identified gaps indicate systemic issues in pre-hospital care
  • Need for routine audits to improve quality metrics in STEMI care

Abstract

In this national STEMI network, more than half of delayed PPCI in eligible early presenters represented a persistent missed-fibrinolysis gap. Routine audit of delayed PCI and missed fibrinolysis as system-level quality metrics should guide time-based pre-hospital triage and align reperfusion with guideline-recommended targets.

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Cite This Study

Desroche et al. (2026) studied this question.

synapsesocial.com/papers/69b5ff5c83145bc643d1bd3ehttps://doi.org/10.1093/ehjqcco/qcag041
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