ST-segment elevation myocardial infarction: recommendations on triage of patients to heart attack centers: is it time for a national policy for the treatment of ST-segment elevation myocardial infarction?


Journal Article (Review)

Despite substantial progress in the diagnosis and treatment of acute ST-segment elevation myocardial infarction (STEMI), implementation of this knowledge into routine clinical practice has been variable. It has become increasing clear that primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion if it can be performed in a timely manner. Recent European data suggest that transfer for direct PCI may also be preferable to fibrinolytic therapy. We believe it is time to establish a national policy for treatment of patients with STEMI to develop a coordinated system of care similar to that of the level 1 trauma system.

Full Text

Duke Authors

Cited Authors

  • Henry, TD; Atkins, JM; Cunningham, MS; Francis, GS; Groh, WJ; Hong, RA; Kern, KB; Larson, DM; Ohman, EM; Ornato, JP; Peberdy, MA; Rosenberg, MJ; Weaver, WD

Published Date

  • April 4, 2006

Published In

Volume / Issue

  • 47 / 7

Start / End Page

  • 1339 - 1345

PubMed ID

  • 16580518

Pubmed Central ID

  • 16580518

Electronic International Standard Serial Number (EISSN)

  • 1558-3597

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2005.05.101


  • eng

Conference Location

  • United States