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ST-Elevation Myocardial Infarction Networks and Logistics: Rural and Urban

Abstract
The facilities and expertise required for primary percutaneous coronary intervention (PPCI) of the infarct-related artery (IRA) in patients with ST-elevation myocardial infarction (STEMI) are only available at a limited number of hospitals. Fibrinolytic therapy, on the other hand, is more widely deliverable. This creates two distinct reperfusion choices: PPCI or a pharmacoinvasive strategy. The first option relies on immediate transfer to the closest PPCI-capable centre even if it means bypassing a closer non-PPCI centre. The second option is the “drip and ship” strategy. It involves delivery of fibrinolytic therapy by a non-PPCI facility with rapid transfer to a PPCI-capable centre.

Authors

Department of Cardiology, HSC Medical Center, Kuala Lumpur, MalaysiaDepartment of Cardiology, Tan Tock Seng Hospital, Singapore, SingaporeDepartment of Medicine, Duke University, Durham, NC, USA

Publisher

Springer
Singapore

Language

eng

PubMed ID

31314433

Citation

Somaratne JB, et al: ST-Elevation Myocardial Infarction Networks and Logistics: Rural and Urban.Primary Angioplasty: A Practical Guide. Edited by Watson TJ, Ong PJL, Tcheng JE: Springer, 2018, Singapore.
Somaratne JB, Stewart JT, Ruygrok PN, et al. ST-Elevation Myocardial Infarction Networks and Logistics: Rural and Urban. Edited by Watson TJ, Ong PJL, Tcheng JE. Primary Angioplasty: A Practical Guide. Singapore: Springer; 2018.
Somaratne JB & Stewart JT & Ruygrok PN, et al. (2018). ST-Elevation Myocardial Infarction Networks and Logistics: Rural and Urban. Edited by Watson TJ & Ong PJL & Tcheng JE. In Primary Angioplasty: A Practical Guide. Singapore: Springer;
Somaratne JB, et al. Edited by Watson TJ, Ong PJL, Tcheng JE. Primary Angioplasty: A Practical Guide. Singapore: Springer; 2018.
* Article titles in AMA citation format should be in sentence-case
TY - CHAP T1 - ST-Elevation Myocardial Infarction Networks and Logistics: Rural and Urban BT - Primary Angioplasty: A Practical Guide A1 - Somaratne,Jithendra B., AU - Stewart,James T., AU - Ruygrok,Peter N., AU - Webster,Mark W., Y1 - 2018/// PY - 2019/7/18/pubmed PY - 2019/7/18/medline PY - 2019/7/18/entrez SP - EP - N2 - The facilities and expertise required for primary percutaneous coronary intervention (PPCI) of the infarct-related artery (IRA) in patients with ST-elevation myocardial infarction (STEMI) are only available at a limited number of hospitals. Fibrinolytic therapy, on the other hand, is more widely deliverable. This creates two distinct reperfusion choices: PPCI or a pharmacoinvasive strategy. The first option relies on immediate transfer to the closest PPCI-capable centre even if it means bypassing a closer non-PPCI centre. The second option is the “drip and ship” strategy. It involves delivery of fibrinolytic therapy by a non-PPCI facility with rapid transfer to a PPCI-capable centre. PB - Springer CY - Singapore SN - 9789811311130 SN - 9789811311147 UR - https://www.unboundmedicine.com/medline/citation/31314433/Primary_Angioplasty:_A_Practical_Guide:_ST-Elevation_Myocardial_Infarction_Networks_and_Logistics:_Rural_and_Urban L2 - https://www.ncbi.nlm.nih.gov/books/NBK543589 DB - PRIME DP - Unbound Medicine ER -