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Review

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

Jithendra B. Somaratne  1   2 , James T. Stewart  1 , Peter N. Ruygrok  1 , Mark W. Webster  1
Timothy J Watson  1 , Paul JL Ong  2 , James E Tcheng  3
, editors.
In: Primary Angioplasty: A Practical Guide [Internet]. Singapore: Springer; 2018. Chapter 4.
.
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Review

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

Jithendra B. Somaratne et al.
Free Books & Documents

Excerpt

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.

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References

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