Which aspects of emergency intervention are key in shortening total ischemic time in ST-elevation myocardial infarction (STEMI) (MI, heart attack)?

Updated: May 07, 2019
  • Author: A Maziar Zafari, MD, PhD, FACC, FAHA; Chief Editor: Eric H Yang, MD  more...
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Answer

Some factors that may lead to shortening total ischemic time include the following:

  • Prehospital electrocardiography (ECG) to diagnose STEMI to activate the percutaneous coronary intervention (PCI) team while the patient is en route to the hospital
  • Emergency department physicians activate the PCI team
  • A single call to a central page operator who activates the PCI team
  • The goal is set for the PCI team to arrive in the catheterization laboratory within 20 minutes after being paged
  • Timely data feedback and analysis are provided to members of the STEMI care team

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