| Developing primary PCI as a national reperfusion strategy for patients with ST-elevation myocardial infarction: the UK experience. | |
| | |
MedLine Citation:
|
PMID: 22917802 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Abstract. In 2004 in the United Kingdom (UK), the infrastructural and organisational changes required for implementation of primary PCI for treatment of STEMI were unclear, and the cost-effectiveness and sustainability of a changed reperfusion strategy had not been tested. In addition, any proposed change was to be made against the background of a previously successful in-hospital thrombolysis strategy, with plans for greater use of pre-hospital administration. A prospective study (the "National Infarct Angioplasty Project - NIAP") was set up to collect information on all patients presenting with STEMI in selected regions in the UK over a one year period (April 2005 - March 2006). The key findings from the NIAP project included that PPCI could be delivered within acceptable treatment times in a variety of geographical settings and that the shortest treatment times were achieved with direct admission to a PPCI-capable cardiac catheter laboratory. The transformation from a dominant lytic strategy to one of PPCI across the UK was achieved both swiftly and consistently with the help of 28 cardiac networks. By the second quarter of 2011, 94% of those STEMI patients in England who received reperfusion treatment were being treated by PPCI compared with 46% during the third quarter of 2008. |
| | |
Authors:
|
James M McLenachan; Huon H Gray; Mark A de Belder; Peter F Ludman; David Cunningham; John Birkhead |
Publication Detail:
|
Type: JOURNAL ARTICLE |
Journal Detail:
|
Title: EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology Volume: 8 ISSN: 1969-6213 ISO Abbreviation: EuroIntervention Publication Date: 2012 Aug |
Date Detail:
|
Created Date: 2012-8-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101251040 Medline TA: EuroIntervention Country: - |
Other Details:
|
Languages: ENG Pagination: P99-P107 Citation Subset: - |
Affiliation:
|
NHS Improvement Programme, United Kingdom, and Leeds General Infirmary, Leeds, United Kingdom. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Decreasing STEMI mortality by implementing a PPCI network in Bulgaria.
Next Document: Survival and Structural Evaluations of Three-Dimensional Tissues Fabricated by Hierarchical Cell Man...