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Time to treatment and the impact of a physician on prehospital management of acute ST elevation myocardial infarction: insights from the ASSENT-3 PLUS trial
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  • Published on:
    Time to treatment of acute ST elevation myocardial infarction

    Dear Editor,

    Intra-country variation versus inter-country variation in pre-hospital care management of acute MI with ST elevation is worrisome matter. Thanks to R C Welsh et al. for wring the article. ST elevation acute MI needs early treatment with fibrinolysis therapy as early possible.

    Study[1] shows that time management is the key of ST elevation MI. Rapid time to treatment with thrombolytic therapy...

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    Conflict of Interest:
    None declared.
  • Published on:
    Representative of UK practice?

    Dear Editor,

    The data presented in Welsh et al.'s paper assessing variations in practice across the 12 countries in the ASSENT 3 PLUS trial may not be representative of UK practice since each of the four constituent countries of the UK have distinct health systems.

    In England and Wales, both of which have national standards for the care of STEMI patients -National Service Frameworks- and in which all 130...

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    Conflict of Interest:
    None declared.
  • Published on:
    Intra-country variation in pre-hospital STEMI care

    Dear Editor,

    We thank Dr Tom Quinn for his interest in this manuscript. His letter addresses the realities of intra-country variation versus inter-country variation in pre-hospital care. Dr Quinn appropriately points out in his letter to the editor that the United Kingdom is made up of distinct nations with distinct health systems. We have recognized this issue in the manuscripts limitations section, “Because our stu...

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    Conflict of Interest:
    None declared.