The Role of Pre-hospital and Hospital Emergency system in Ischemic Time Management of Acute Myocardial Infarction Patients: A Review

According to the latest guidelines, the best intervention to restore blood flow through occluded coronary arteries is angioplasty at a time less than 90 minutes. Delay in timely implementation of reperfusion is one of the key issues in the management of ST elevation myocardial infarction (STEMI). In this review study, papers published from 1999-2019 were used to investigate Role of Pre-hospital and Hospital Emergency system in Ischemic Time Management of Acute Myocardial Infarction Patients. For this purpose, English articles with full text available on ProQuest, SID, Science Direct, Google Scholar and Scopus databases were searched online using the keywords related to STEMI, Ischemic Time, Pre-hospital and Hospital Emergency system used in the title or abstract. A total of 59 articles (from 10 different countries) covering both qualitative and quantitative studies in Persian and English conducted the last 20 years (since 1999) were selected. Those which were not a review/research paper and their full text were unavailable were excluded from the review. Faster reperfusion reduces the size of the cardiac necrosis area, resulting in reduced morbidity and mortality.  If the patientchr('39')s ECG on the scene is taken by the pre-hospital emergency Team and activation of the STEMI code will be performed in the emergency unit, subsequently, diagnosis, decision making and transfer of the MI patient to receive the best treatment in a timely manner.