In-Hospital STEMI: An Inside Out Approach
The clinical benefit of reducing the time between the onset of ST-segment elevation myocardial infarction (STEMI) and coronary reperfusion has been a motivating principle for cardiologists and their emergency care colleagues for the past two decades1. Prompt treatment with fibrinolytic therapy or primary percutaneous coronary intervention (PCI) leads to improved outcomes and important reductions in mortality2. Development and optimization of systems of care to improve treatment times for STEMI patients has been a major initiative of the national cardiovascular organizations as well as regional healthcare networks for nearly ten years.
- Received December 23, 2013.
- Accepted December 26, 2013.