Implementation of Regional ST-Segment Elevation Myocardial Infarction Systems of Care: Successes and Challenges.

Journal Article (Journal Article;Review)

Current guidelines recommend that communities create and maintain a regional system of ST-segment elevation myocardial infarction (STEMI) care that includes assessment and continuous quality improvement of emergency medical services and hospital-based activities. Availability and timely access is a challenge in many areas of the United States. This article reviews clinical trial data supporting the use of primary percutaneous coronary intervention as the optimal reperfusion strategy, and fibrinolysis as an option when this is not possible. It then describes the outcomes and benefits of implementing regional systems of STEMI care, and discusses ongoing challenges for STEMI system implementation, including inadequate data collection and feedback, and hospital and physician competition.

Full Text

Duke Authors

Cited Authors

  • Fordyce, CB; Henry, TD; Granger, CB

Published Date

  • October 2016

Published In

  • Interv Cardiol Clin

Volume / Issue

  • 5 / 4

Start / End Page

  • 415 - 425

PubMed ID

  • 28581992

Electronic International Standard Serial Number (EISSN)

  • 2211-7466

Digital Object Identifier (DOI)

  • 10.1016/j.iccl.2016.06.001


  • eng

Conference Location

  • Netherlands