PT  - JOURNAL ARTICLE
AU  - N Melikian
AU  - K Morgan
AU  - K J Beatt
TI  - Can the published cost analysis data for delivery of an efficient primary angioplasty service be applied to the modern National Health Service?
AID  - 10.1136/hrt.2004.059402
DP  - 2005 Oct 01
TA  - Heart
PG  - 1262--1264
VI  - 91
IP  - 10
4099  - http://heart.bmj.com/content/91/10/1262.short
4100  - http://heart.bmj.com/content/91/10/1262.full
SO  - Heart2005 Oct 01; 91
AB  - Despite the clinical benefits and safety profile of primary percutaneous coronary intervention (PCI), the health care system in the UK has been slow to adopt this strategy as first line management for ST segment elevation myocardial infarction. The cost implications of a 24 hour a day, seven days per week primary PCI service and the absence of an existing efficient working model within the National Health Service (NHS) framework are two of the major deterrents for provision of such a service. The existent cost effectiveness data for primary PCI is critically reviewed, with particular reference to the NHS.