Prospective multicenter randomized trial comparing physician versus patient transfer for primary percutaneous coronary intervention in acute ST-segment elevation myocardial infarction

A study of regional cooperative emergency care system for ST-elevation myocardial infarction patients based on the internet of things

“…Hence, the solution for that delay lies in promoting and popularizing the emergency knowledge and skills of the public, encouraging the patients to "speed to hospital when chest pain occurs", conducting comprehensive risk analysis for cardiovascular patients and establishing the mechanisms of prediction, prevention, early warning and plans for patients. Besides, the delay of transport is mainly affected in three stages--the hospital the patients first turn to, the transport process and the hospital that admits the patients, and in our country, the pre-hospital delay mainly happens in the first two stages [14]. With the help of "Remote ICU" and "Mobile ICU", if the patients cannot be transferred for immediate PCI therapy within 90 min, they would first receive thrombolytic therapy in the emergency network hospitals, and later be transferred to central hospital for PCI therapy, which is an effective way to improve the fist diagnosis, shorten the pre-hospital delay so as to ensure the safety of the patients.…”

Toward quality improvement of cardiovascular surgery in Japan: An estimation of regionalization effects from a nationwide survey

“…However, some studies have suggested that off-site PCI is feasible and safe for selected patients under specific conditions [25,26]. This problem can be attenuated by transferring physician to local hospitals to perform primary PCI [27], or by establishing inter-hospital and interdisciplinary collaboration in each region [28]. The local government should be involved in each region, alongside the cardiologists and hospitals, with plans to improve the mortality rate of cardiovascular surgery.…”

High-risk myocardial infarction patients appear to derive more mortality benefit from short door-to-balloon time than low-risk patients

“…PPCI were considered superior to in‐hospital thrombolysis even when transfer to an angioplasty centre (patient‐to‐physician strategy) was necessary (3). There was some evidence, however, that the elimination of patient transfer using a physician‐to‐patient strategy could improve DTB time (29). In that study, patients who presented to hospitals without in‐house interventional cardiologists were randomised to receiving PPCI on‐site by visiting interventional cardiologists or to transfer to an angioplasty centre.…”