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European Heart Journal Advance Access originally published online on June 7, 2006
European Heart Journal 2006 27(13):1515-1516; doi:10.1093/eurheartj/ehl064
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Pre-hospital diagnosis of myocardial infarction: an opportunity to improve outcomes?

Simon James Walsh, Colum Gerard Owens and Agnes Anne Jennifer Adgey*

Regional Medical Cardiology Centre, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, Northern Ireland, UK

* Corresponding author. Tel: +44 28 90240503 ext 2171; fax: +44 28 90312907. E-mail address: jennifer.adgey@royalhospitals.n-i.nhs.uk

This editorial refers to ‘Clinical impact of direct referral to primary percutaneous coronary intervention following pre-hospital diagnosis of ST-elevation myocardial infarction’{dagger} by P. Ortolani et al., on page 1550

The first 10% of the full text of this article appears below.

Ortolani et al.1 report on the potential impact of pre-hospital diagnosis of ST-elevation myocardial infarction (STEMI). The authors compared the different routes of referral taken by patients who were transferred for primary percutaneous coronary intervention (PCI). A total of 658 STEMI patients were studied and three predefined referral routes were compared: pre-hospital diagnosis and direct transportation (for patients within 90 min drive of the PCI centre, n=166), diagnosis at the interventional hospital emergency department (n=316), or diagnosis at local hospitals before transportation (n=176). The main finding of the study was that patients who had a pre-hospital paramedic and doctor with telemedicine transmission of STEMI and direct transfer for primary PCI had a significant reduction in ‘treatment time’ (from onset of . . . [Full Text of this Article]

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Related articles in EHJ:

Clinical impact of direct referral to primary percutaneous coronary intervention following pre-hospital diagnosis of ST-elevation myocardial infarction
Paolo Ortolani, Antonio Marzocchi, Cinzia Marrozzini, Tullio Palmerini, Francesco Saia, Carlo Serantoni, Matteo Aquilina, Simona Silenzi, Federica Baldazzi, Daniele Grosseto, Nevio Taglieri, Robin M.T. Cooke, Maria Letizia Bacchi-Reggiani, and Angelo Branzi
EHJ 2006 27: 1550-1557. [Abstract] [Full Text]