Introduction: Treatment of acute myocardial infarction has changed significantly in recent years. Since January 1st, 2003 primary coronary intervention has been organized in Budapest. The authors show the results during the implementation of this method in the first 6 months with emphasizing its importance.
Patients: In the center which was developed specially for catheter interventions in myocardial infarction, 282 patients were admitted during this period with the suspicion of acute ST-elevation myocardial infarction. 266 (94.3%) of them were proved to have an infarction. Of these, 260 had a lesion amenable for percutaneous intervention.
Results: Success rate of catheter-based revascularization was 96.5%. 4 patients underwent open-heart surgery. Adverse events were: severe bleeding 1.1%, in-hospital mortality 4.5%.
Conclusion: In our center the major outcomes are similar to the results of large international centers.