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[Acute myocardial infarction in Mid-Norway: transportation for thrombolytic treatment or primary percutaneous

Hanne Saettem Beltesbrekke1, Mari Bergan Husa, Harald Vik-Mo

  • 1Institutt for sirkulasjon og bildediagnostikk, Norges teknisk-naturvitenskapelige universitet og Hjertemedisinsk avdeling, St. Olavs hospital, 7006 Trondheim, Norway.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|September 14, 2010
PubMed

Insights

Regional differences in Mid-Norway led to varied treatments for ST-elevation myocardial infarction (STEMI) patients. Primary percutaneous coronary intervention (PCI) was favored over thrombolytic treatment, despite transport times influencing strategy.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Emergency Medicine

Context:

  • ST-elevation myocardial infarction (STEMI) requires urgent treatment to restore coronary artery blood flow.
  • Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy when timely. Thrombolytic treatment is a viable alternative for patients with prolonged transport times.
  • Treatment decisions for STEMI patients are influenced by symptom onset-to-treatment and transport times.

Purpose:

  • To assess the choice of treatment strategy for ST-elevation myocardial infarction (STEMI) patients.
  • To analyze how transport times and symptom onset influence the selection between primary PCI and thrombolytic therapy.

Summary:

  • A cohort study of 379 STEMI patients in Mid-Norway (2007-2009) revealed significant regional variations in treatment strategies.
  • Primary PCI was administered to 71% of patients, while 29% received thrombolytic treatment. Helicopter transport was utilized for 46% of patients.
  • The study observed marked differences in the utilization of PCI versus thrombolytic treatment across different counties in Mid-Norway.

Impact:

  • Highlights significant regional disparities in STEMI management within Mid-Norway.
  • Suggests a need for standardized treatment protocols to ensure equitable care for myocardial infarction patients.
  • Informs healthcare providers and policymakers about variations in reperfusion strategies for STEMI.
Abstract

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