European Heart Journal Advance Access published online on July 10, 2008
European Heart Journal, doi:10.1093/eurheartj/ehn225
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
The challenge of reducing time to reperfusion in patients with acute ST elevation myocardial infarction
Isala Klinieken, Department of Cardiology, Groot Wezenland 20, 8011 JW Zwolle, The Netherlands
* Corresponding author. Tel: +31 384242198, Fax: +31 384243222, Email: v.r.c.derks@isala.nl
This editorial refers to Clinical impact of an inter-hospital transfer strategy in patients with ST-elevation myocardial infarction undergoing primary angioplasty: the Emilia-Romagna ST-segment elevation acute myocardial infarction network
by A. Manari et al., on page 1834
| The first 10% of the full text of this article appears below. |
In the past few years, the prognosis of patients with acute myocardial infarction has greatly improved largely because more and more patients are being treated with primary angioplasty.1,2 Although the first publication on the superiority of primary coronary angioplasty [percutaneous coronary intervention (PCI)] over thrombolysis was in 1993, daily practice only started changing from the moment both the American and European guidelines recommended primary angioplasty as first-line therapy 10 years later. However, to implement the new guideline of providing timely primary angioplasty to every patient with ST elevation myocardial