Abstract
The use of primary percutaneous coronary intervention (PCI) as the preferred reperfusion strategy in ST-elevation myocardial infarction (STEMI) requires optimal systems-of-care and logistics in order to enable rapid treatment of all patients. In Denmark, this has been achieved through prehospital electrocardiogram diagnosis, field triage and dedicated PCI centres 24/7. Today, primary PCI is an option for all Danish patients with STEMI, regardless of the distance to a PCI centre. This has led to a decline in both mortality and morbidity.
MeSH terms
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Angioplasty, Balloon, Coronary / standards*
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Angioplasty, Balloon, Coronary / statistics & numerical data
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Delayed Diagnosis
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Denmark
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Electrocardiography
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Emergency Medical Services / standards
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Emergency Medical Services / statistics & numerical data
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Humans
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Kaplan-Meier Estimate
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Myocardial Infarction / diagnosis
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Myocardial Infarction / mortality
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Myocardial Infarction / therapy*
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Myocardial Reperfusion / standards
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Myocardial Reperfusion / statistics & numerical data
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Percutaneous Coronary Intervention / standards*
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Percutaneous Coronary Intervention / statistics & numerical data
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Practice Guidelines as Topic
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Time Factors
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Time-to-Treatment / standards*
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Time-to-Treatment / statistics & numerical data
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Transportation of Patients / standards
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Transportation of Patients / statistics & numerical data