Article Text

other Versions

PDF
Variation in primary PCI in England
  1. Kevin F Fox
  1. Correspondence to Dr Kevin F Fox, Imperial College London, Cardiovascular Medicine, Charing Cross Hospital, 5th Floor Lab Block, London W6 8RF, UK; k.fox{at}imperial.ac.uk

Statistics from Altmetric.com

The introduction of Primary Percutaneous Coronary Intervention (PPCI) for the treatment of acute ST elevation myocardial infarction (STEMI) represents one of the success stories of modern cardiovascular care. However, unlike a new medication, it requires system-wide change. In their paper, Hall et al1 describe the process of implementation of PPCI in the UK between 2003 and 2013, the period of most rapid switch in practice from thrombolysis to PPCI.

The Myocardial Infarction National Audit Project (MINAP) database was established in 1998 to monitor the implementation of thrombolysis in England and Wales. By mid-2002, all acute hospitals in England and Wales were participating, thus providing near complete coverage and data accuracy for patients with STEMI. MINAP provided a unique window on the roll-out of PPCI.

The key findings are that proportions of STEMI treated by PPCI increased over a period of 10 years from 0.01% to 86.3%, but …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles