Systems of Care for ST-Segment–Elevation Myocardial Infarction: A Policy Statement From the American Heart Association

Author:

Jacobs Alice K.,Ali Murtuza J.,Best Patricia J.,Bieniarz Mark C.,Bufalino Vincent J.,French William J.,Henry Timothy D.,Hollowell Lori,Jauch Edward C.,Kurz Michael C.,Levy Michael,Patel Puja,Spier Travis,Stone R. Harper,Tataris Katie L.,Thomas Randal J.,Zègre-Hemsey Jessica K.,

Abstract

The introduction of Mission: Lifeline significantly increased timely access to percutaneous coronary intervention for patients with ST-segment–elevation myocardial infarction (STEMI). In the years since, morbidity and mortality rates have declined, and research has led to significant developments that have broadened our concept of the STEMI system of care. However, significant barriers and opportunities remain. From community education to 9-1-1 activation and emergency medical services triage and from emergency department and interfacility transfer protocols to postacute care, each critical juncture presents unique challenges for the optimal care of patients with STEMI. This policy statement sets forth recommendations for how the ideal STEMI system of care should be designed and implemented to ensure that patients with STEMI receive the best evidence-based care at each stage in their illness.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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