Primary PCI for myocardial infarction with ST-segment elevation

被引:119
作者
Keeley, Ellen C. [1 ]
Hillis, L. David
机构
[1] Univ Virginia, Sch Med, Dept Internal Med, Div Cardiol, Charlottesville, VA 22908 USA
[2] Univ Texas, SW Med Ctr, Dept Internal Med, Div Cardiol, Dallas, TX USA
关键词
D O I
10.1056/NEJMct063503
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 58-year-old man has chest pain at 9:30 a.m.; 3 hours later, he calls for an ambulance. Paramedics arrive, provide standard treatment, and transport him to the nearest emergency department. On his arrival at a small hospital at 1 p.m., the findings are diagnostic of a myocardial infarction with ST-segment elevation. The emergency department physician recommends immediate transfer to a hospital 1 hour away for primary percutaneous coronary intervention (PCI). Copyright © 2007 Massachusetts Medical Society.
引用
收藏
页码:47 / 54
页数:8
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