Pre-hospital triage for primary angioplasty: direct referral to the intervention center versus interhospital transport

JACC. Cardiovascular Interventions
Hendrik-Jan DiekerFreek W A Verheugt

Abstract

We sought to study the impact of direct referral to an intervention center after pre-hospital diagnosis of ST-segment elevation myocardial infarction (STEMI) on treatment intervals and outcome. Primary angioplasty has become the preferred reperfusion strategy in STEMI. Ambulance diagnosis and direct referral to an intervention center is an attractive treatment option that has not been studied extensively. Consecutive pre-hospital patients with STEMI, who were referred to our intervention center for primary angioplasty between 2005 and 2007, were studied. After pre-hospital diagnosis, patients were either directly transported to our center or referred through a nonintervention center. The catheterization laboratory was activated before transport to the intervention center. Of the 581 patients referred, 454 (78%) came with direct transport and 127 (22%) through a nonintervention center. Direct transport was associated with a higher proportion of patients treated within the 90-min time window of the STEMI guidelines: 82% versus 23% (p < 0.01). Patients directly transported had a significantly shorter median symptom-to-balloon time of 149 min (Interquartile range: 118 to 197 min) versus 219 min (interquartile range: 178 to 315 min)...Continue Reading

References

May 20, 2000·JAMA : the Journal of the American Medical Association·L J MorrisonD J Cook
Oct 7, 2000·The New England Journal of Medicine·R Zahn, J Senges
Sep 24, 2002·Lancet·Eric BonnefoyUNKNOWN Comparison of Angioplasty and Prehospital Thromboysis in Acute Myocardial Infarction study group
Feb 1, 2003·European Heart Journal·Frans Van de WerfUNKNOWN Task Force on the Management of Acute Myocardial Infarction of the European Society of Cardiology
Aug 22, 2003·The New England Journal of Medicine·Henning R AndersenUNKNOWN DANAMI-2 Investigators
Aug 30, 2003·American Heart Journal·Evert J P LamfersFreek W A Verheugt
Nov 15, 2006·The New England Journal of Medicine·Elizabeth H BradleyHarlan M Krumholz
Jan 18, 2008·The New England Journal of Medicine·Michel R Le MayMarino Labinaz

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Citations

Sep 18, 2013·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Xiaoyu YangAnjan K Chakrabarti
Jul 30, 2014·International Journal of Cardiology·Natale Daniele BrunettiMatteo Di Biase
Apr 30, 2014·Revista Española De Cardiología·Jacob Thorsted SørensenMaria Sejersten
Jan 19, 2016·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Dae-Hyun KimJae-Kwan Cha
Jun 15, 2011·The Journal of Continuing Education in the Health Professions·Sarah N Pletcher, Scott W Rodi
Jan 24, 2014·Circulation Journal : Official Journal of the Japanese Circulation Society·Kiyotaka HaoUNKNOWN Miyagi AMI Registry Study Investigators
May 5, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Talwinder S KahlonPeter B Berger
May 6, 2016·European Heart Journal. Acute Cardiovascular Care·Céline RousseauxMarc J Claeys
Apr 20, 2013·Journal of the American Heart Association·Thomas M Todoran, Eric R Powers
Dec 19, 2012·Circulation·Patrick T O'GaraUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Oct 26, 2018·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·S S AnroedhE Boersma
Mar 25, 2014·Acute Cardiac Care·Peter W RadkeJulian Halcox
Aug 11, 2015·Journal of Cardiovascular Medicine·Luigi MeloniRaimondo Pirisi
Nov 15, 2012·Critical Pathways in Cardiology·Robert L HuangJoseph L Fredi
Aug 1, 2015·Coronary Artery Disease·Jacob Thorsted Sørensen, Michael Maeng
Jan 19, 2016·Emergency Medicine Australasia : EMA·Michael M Dinh, Kendall J Bein
Jan 19, 2020·BMC Cardiovascular Disorders·Michał CzaplaPiotr Karniej

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