Baruch Terrence, Rock Alisa, Koenig William J, Rokos Ivan, French William J
Department of Cardiology, Methodist Hospital of Southern California, Arcadia, CA, USA.
Crit Pathw Cardiol. 2010 Sep;9(3):113-5. doi: 10.1097/HPC.0b013e3181e9d410.
Primary percutaneous coronary intervention (PPCI) is the preferred method of reperfusion for ST-segment elevation myocardial infarction (STEMI), if it can be performed in a timely manner by an experienced interventional cardiologist at a high volume STEMI Receiving Center. However, an estimated 50% of STEMI patients present to STEMI Referral Centers without PPCI capability. Transfer of STEMI patients for PPCI has been shown to improve outcomes as compared with fibrinolysis given at the presenting hospital. Nonetheless, transfer of STEMI patients for PPCI has not been used extensively in the United States and is associated with markedly prolonged transfer times. This study demonstrates that rapid transfer of STEMI patients from community hospitals without PPCI capability to a STEMI Receiving Center is both safe and feasible using a standardized protocol with an integrated transfer system.
如果经验丰富的介入心脏病专家能在大容量ST段抬高型心肌梗死（STEMI）接收中心及时进行，直接经皮冠状动脉介入治疗（PPCI）是ST段抬高型心肌梗死（STEMI）再灌注的首选方法。然而，估计有50%的STEMI患者就诊于没有PPCI能力的STEMI转诊中心。与在就诊医院进行纤维蛋白溶解治疗相比，将STEMI患者转运至有PPCI能力的医院已被证明可改善治疗结果。尽管如此，在美国，将STEMI患者转运至有PPCI能力的医院并未得到广泛应用，且转运时间明显延长。本研究表明，使用标准化方案和综合转运系统，将没有PPCI能力的社区医院的STEMI患者快速转运至STEMI接收中心是安全可行的。
