UTIC, Dipartimento Cardiovascolare, Ospedale San Filippo Neri, Rome, Italy.
J Cardiovasc Med (Hagerstown). 2009 Oct;10 Suppl 1:S3-6. doi: 10.2459/01.JCM.0000362037.41014.e3.
The rate of percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction varies between European countries, as does total mortality as a result of acute myocardial infarction. These differences arise partly because of differences between countries in the time delay from symptom onset to first medical contact, and from first medical contact to reperfusion with thrombolysis or PCI. The European Society of Cardiology guidelines emphasize the importance of early reperfusion therapy. There are, however, often logistical delays in transport of the patient, in diagnosis of myocardial infarction and in preparation of medical teams to be available to perform PCI. Studies have shown that door-to-balloon time may improve with an integrated approach coordinating systems, procedures and institutions, and steps such as including prehospital triage and prehospital electrocardiogram transmission can dramatically reduce door-to-balloon time. Early transfer to PCI is associated with fewer ischaemic complications.
经皮冠状动脉介入治疗（PCI）用于治疗 ST 段抬高型心肌梗死的比例在欧洲各国之间存在差异，急性心肌梗死导致的总死亡率也存在差异。造成这些差异的部分原因是各国之间从症状发作到首次医疗接触以及从首次医疗接触到溶栓或 PCI 再灌注的时间延迟不同。欧洲心脏病学会指南强调了早期再灌注治疗的重要性。然而，患者的运输、心肌梗死的诊断和准备进行 PCI 的医疗团队往往存在后勤延迟。研究表明，通过协调系统、程序和机构的综合方法，以及包括院前分诊和院前心电图传输等步骤，可以改善门球时间，门球时间可能会得到改善。尽早转至 PCI 与较少的缺血性并发症相关。
