Herity Niall, Corrigan Diane, McNeill Albert
Belfast HSC Trust.
Public Health Agency.
Ulster Med J. 2019 Jan;88(1):36-40. Epub 2019 Jan 22.
Primary percutaneous coronary intervention (primary PCI) is the preferred immediate treatment for patients with acute ST elevation myocardial infarction. It is however, considerably more labour-intensive than the previous standard of care and requires an immediate response from consultant-led teams to deliver best outcomes. We describe the introduction of a comprehensive primary PCI service for Northern Ireland and suggest that the process by which it was designed, piloted, commissioned and benchmarked can serve as a prototype for other high-risk, time-sensitive clinical emergency services.
直接经皮冠状动脉介入治疗（直接PCI）是急性ST段抬高型心肌梗死患者首选的即时治疗方法。然而，它比以前的标准治疗方法需要更多的人力，并且需要由顾问主导的团队立即做出反应才能取得最佳效果。我们描述了为北爱尔兰引入全面直接PCI服务的情况，并认为其设计、试点、委托和基准测试过程可作为其他高风险、对时间敏感的临床紧急服务的原型。
