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Myocardial infarction centres: the way forward
  1. H R Andersen,
  2. C J Terkelsen,
  3. L Thuesen,
  4. L R Krusell,
  5. S D Kristensen,
  6. H E Bøtker,
  7. J F Lassen,
  8. T T Nielsen
  1. Department of Cardiology, Skejby University Hospital, Aarhus, Denmark
  1. Correspondence to:
    Henning Rud Andersen
    MD, Department of Cardiology B, Skejby University Hospital, DK-8200 Aarhus N, Denmark;


In the era of primary PCI, a strategy of admitting patients to the nearest hospital should be obsolete. Instead, a prehospital diagnostic strategy should be implemented in order to: (1) refer patients directly to interventional centres, thereby eliminating delay at local hospitals; (2) alert the interventional centre, thereby reducing door to balloon times; (3) initiate adjunctive medication in the prehospital phase

  • AMI, acute myocardial infarction
  • door-to-balloon time, time from hospital admission until first balloon inflation
  • facilitated PCI, thrombolytic therapy followed by acute PCI
  • patient delay, time from onset of symptoms until calling for help
  • PCI, percutaneous coronary intervention
  • STEMI, ST elevation myocardial infarction
  • treatment delay, time from symptoms onset until initiation of reperfusion treatment
  • Myocardial infarction
  • percutaneous coronary intervention

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