Transfer for Primary Angioplasty: Time is Important

Transfer for primary angioplasty: time is important.

Time is Important To the Editor: Dalby et al1 have produced a meta-analysis on the transfer of patients for primary angioplasty versus non-transfer thrombolysis in acute myocardial infarction. Their conclusion from a collaboration of 6 papers is that primary angioplasty is the optimal method of treatment, rather than local thrombolytic therapy, despite delays in transfer times to tertiary refer...

Transfer for primary angioplasty: the importance of time.

Primary angioplasty offers benefits as compared with fibrinolysis for many patients with acute ST-elevation myocardial infarction (STEMI).1 This superiority of percutaneous coronary intervention (PCI) in trials has led to the investigation of transfer strategies that would make PCI more widely available. Such a strategy would regionalize care and divert patients with STEMI to centers with PCI c...

Transfer for primary angioplasty: who and how?

Randomised trials have led to the conclusion that percutaneous coronary intervention (PCI) is the best reperfusion strategy for most patients with acute myocardial infarction (AMI). However, these trials have limited application to routine practice. Modern trials of mechanical reperfusion strategies need to take account of logistics, transfer times, and adjunctive drug treatment during transfer...

Is transfer for primary angioplasty better than on-site fibrinolytic therapy for acute myocardial infarction?

Review: transfer for primary angioplasty is better than immediate thrombolysis in acute myocardial infarction.

O u t c o m e s 30-day composite endpoint of all-cause mortality, reinfarction, or stroke. M a i n r e s u l t s 6 RCTs (3749 patients) met the selection criteria. Overall, transfer time was always < 3 hours. However, in 5 RCTs where data were available, the average additional time to primary PCI compared with immediate thrombolysis ranged from 70 to 103 minutes. Thrombolytic agents used includ...