PMID: 16520856Mar 8, 2006Paper

Delivery of primary percutaneous coronary intervention for the management of acute ST segment elevation myocardial infarction: summary of the Cardiac Care Network of Ontario Consensus Report

The Canadian Journal of Cardiology
Marino LabinazCCN Consensus Panel on Access to Urgent PCI for ST Segment Elevation Myocardial Infarction

Abstract

Tremendous debate has developed over the efficacy of primary percutaneous coronary intervention (PCI) compared with fibrinolysis as the preferred treatment for acute ST segment elevation myocardial infarction (STEMI). In 2002, the Ontario Ministry of Heath and Long-Term Care commissioned the Cardiac Care Network of Ontario to develop consensus recommendations regarding the provincial coordination and provision of urgent PCI for STEMI patients. The panel's work has provided important insights into the acute treatment of STEMI that may be useful to other jurisdictions and may provide a reference for other regions considering the implementation of primary PCI for the management of STEMI patients in their community. In the present report, the evidence for primary PCI is reviewed, the important barriers to implementing this strategy are summarized and several recommendations and models of care for the delivery of primary PCI for STEMI on a wide scale are presented.

References

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Citations

Jan 18, 2008·The New England Journal of Medicine·Michel R Le MayMarino Labinaz
Aug 25, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Miodrag C Ostojic, Nevena D Karanovic
Aug 25, 2012·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Steen D KristensenPetr Widimsky
Apr 24, 2013·International Journal of Cardiology·Kristina Grønborg LautSteen Dalby Kristensen
Dec 13, 2012·Circulation. Cardiovascular Quality and Outcomes·Davi Jorge Fontoura SollaPollianna de Souza Roriz
Jun 29, 2010·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Tanja BratanTrisha Greenhalgh
Oct 21, 2011·Journal of Cardiovascular Medicine·Kristina G LautSteen D Kristensen

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