HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: j.jacc.2005.05.101v1 47/7/1339    most recent Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (21) Citing Articles via Google Scholar Google Scholar Articles by Henry, T. D. Articles by Weaver, W. D. Search for Related Content PubMed Articles by Henry, T. D. Articles by Weaver, W. D.

VIEWPOINT AND COMMENTARY

ST-Segment Elevation Myocardial Infarction: Recommendations on Triage of Patients to Heart Attack Centers

Is it Time for a National Policy for the Treatment of ST-Segment Elevation Myocardial Infarction?

Timothy D. Henry, MD^_*,_*, James M. Atkins, MD, Michael S. Cunningham, MD, Gary S. Francis, MD, William J. Groh, MD, MPH^||, Robert A. Hong, MD^¶, Karl B. Kern, MD^#, David M. Larson, MD^_**, Erik Magnus Ohman, MD, Joseph P. Ornato, MD, Mary Ann Peberdy, MD, Michael J. Rosenberg, MD and W. Douglas Weaver, MD^||||

^_* Minneapolis Heart Institute Foundation at Abbott Northwestern Hospital, Minneapolis, Minnesota
Southwestern Medical Center, Dallas, Texas
Southpoint Cardiology, Jacksonville, Florida
Cleveland Clinic Foundation, Cleveland, Ohio
^|| Krannert Institute of Cardiology, Indianapolis, Indiana
^¶ John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii
^# University of Arizona Medical Center, Tucson, Arizona
^_** Ridgeview Medical Center, Waconia, Minnesota
Duke University, Durham, North Carolina
Virginia Commonwealth University Health System, Richmond, Virginia
Advocate Lutheran General Hospital, Park Ridge, Illinois
^|||| Henry Ford Heart and Vascular Institute, Detroit, Michigan

Manuscript received March 2, 2005; revised manuscript received May 10, 2005, accepted May 15, 2005.

^_* Reprint requests and correspondence: Dr. Timothy D. Henry, Minneapolis Heart Institute Foundation, 920 East 28th Street, Suite 40, Minneapolis, Minnesota 55407. (Email: henry003{at}umn.edu).

Despite substantial progress in the diagnosis and treatment of acute ST-segment elevation myocardial infarction (STEMI), implementation of this knowledge into routine clinical practice has been variable. It has become increasing clear that primary percutaneous coronary intervention (PCI) is the preferred method of reperfusion if it can be performed in a timely manner. Recent European data suggest that transfer for direct PCI may also be preferable to fibrinolytic therapy. We believe it is time to establish a national policy for treatment of patients with STEMI to develop a coordinated system of care similar to that of the level 1 trauma system.

Abbreviations and Acronyms   NRMI-2 = Second National Registry of Myocardial Infarction   PCI = percutaneous coronary intervention   STEMI = ST-segment elevation myocardial infarction

This article has been cited by other articles:

				H. H. Ting, H. M. Krumholz, E. H. Bradley, D. C. Cone, J. P. Curtis, B. J. Drew, J. M. Field, W. J. French, W. B. Gibler, D. C. Goff, et al. Implementation and Integration of Prehospital ECGs Into Systems of Care for Acute Coronary Syndrome: A Scientific Statement From the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research, Emergency Cardiovascular Care Committee, Council on Cardiovascular Nursing, and Council on Clinical Cardiology Circulation, September 2, 2008; 118(10): 1066 - 1079. [Full Text] [PDF]

				G. W. Stone Angioplasty Strategies in ST-Segment-Elevation Myocardial Infarction: Part I: Primary Percutaneous Coronary Intervention Circulation, July 29, 2008; 118(5): 538 - 551. [Full Text] [PDF]

				A. Chakrabarti, H. M. Krumholz, Y. Wang, J. S. Rumsfeld, B. K. Nallamothu, and for the National Cardiovascular Data Registry Time-to-reperfusion in patients undergoing interhospital transfer for primary percutaneous coronary intervention in the U.S: an analysis of 2005 and 2006 data from the National Cardiovascular Data Registry. J. Am. Coll. Cardiol., June 24, 2008; 51(25): 2442 - 2443. [Full Text] [PDF]

				T. D. Henry, S. W. Sharkey, and D. M. Larson Response to Letter Regarding Article, "A Regional System to Provide Timely Access to Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction" Circulation, May 6, 2008; 117(18): e329 - e329. [Full Text] [PDF]

				M. R. Le May, D. Y. So, R. Dionne, C. A. Glover, M. P.V. Froeschl, G. A. Wells, R. F. Davies, H. L. Sherrard, J. Maloney, J.-F. Marquis, et al. A Citywide Protocol for Primary PCI in ST-Segment Elevation Myocardial Infarction N. Engl. J. Med., January 17, 2008; 358(3): 231 - 240. [Abstract] [Full Text] [PDF]

				W. E. Boden, K. Eagle, and C. B. Granger Reperfusion Strategies in Acute ST-Segment Elevation Myocardial Infarction: A Comprehensive Review of Contemporary Management Options J. Am. Coll. Cardiol., September 4, 2007; 50(10): 917 - 929. [Abstract] [Full Text] [PDF]

				J. L. Anderson, C. D. Adams, E. M. Antman, C. R. Bridges, R. M. Califf, D. E. Casey Jr, W. E. Chavey II, F. M. Fesmire, J. S. Hochman, T. N. Levin, et al. ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) Developed in Collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine J. Am. Coll. Cardiol., August 14, 2007; 50(7): e1 - e157. [Full Text] [PDF]

				T. D. Henry, S. W. Sharkey, M. N. Burke, I. J. Chavez, K. J. Graham, C. R. Henry, D. L. Lips, J. D. Madison, K. M. Menssen, M. R. Mooney, et al. A Regional System to Provide Timely Access to Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction Circulation, August 14, 2007; 116(7): 721 - 728. [Abstract] [Full Text] [PDF]

				S. R. Dixon, C. L. Grines, and W. W. O'Neill The Year in Interventional Cardiology J. Am. Coll. Cardiol., July 17, 2007; 50(3): 270 - 285. [Full Text] [PDF]

				J. P. Ornato The ST-Segment-Elevation Myocardial Infarction Chain of Survival Circulation, July 3, 2007; 116(1): 6 - 9. [Full Text] [PDF]

				T. J. Kiernan, H. H. Ting, and B. J. Gersh Facilitated percutaneous coronary intervention: current concepts, promises, and pitfalls Eur. Heart J., July 1, 2007; 28(13): 1545 - 1553. [Abstract] [Full Text] [PDF]

				D. J. Kereiakes and E. M. Antman Clinical Guidelines and Practice: In Search of the Truth J. Am. Coll. Cardiol., September 19, 2006; 48(6): 1129 - 1135. [Abstract] [Full Text] [PDF]

				S. S. Rathore, A. J. Epstein, B. K. Nallamothu, and H. M. Krumholz Regionalization of ST-Segment Elevation Acute Coronary Syndromes Care: Putting a National Policy in Proper Perspective J. Am. Coll. Cardiol., April 4, 2006; 47(7): 1346 - 1349. [Abstract] [Full Text] [PDF]