Related Experiment Video

Updated: Jan 12, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

24.7K

Transfer and Survival of ST-Elevation Myocardial Infarction Medicare Patients

Michelle Leeberg1, Andrew Shermeyer2, Michael J Ward3,4,5

  • 1Division of Biostatistics and Health Data Science, University of Minnesota School of Public Health, Minneapolis, MN, USA.

Cardiology Research
|October 31, 2025
PubMed

Insights

Transferring ST-elevation myocardial infarction (STEMI) patients to hospitals with partial percutaneous coronary intervention (PCI) capability or lower quality care is linked to increased mortality. Optimizing STEMI transfer protocols is crucial for better patient survival.

Area of Science:

  • Cardiology
  • Healthcare Management
  • Public Health

Background:

  • Interhospital transfer of ST-elevation myocardial infarction (STEMI) patients aims to improve access to percutaneous coronary intervention (PCI).
  • However, the impact of transferring and receiving hospital characteristics on STEMI patient mortality remains unclear.

Purpose of the Study:

  • To investigate how transferring and receiving hospital characteristics influence mortality in STEMI patients undergoing interhospital transfer.

Main Methods:

  • Retrospective cohort study design.
  • Utilized Kaplan-Meier survival curves to estimate survival differences.
  • Employed Cox proportional hazard models to derive adjusted hazard ratios.

Main Results:

  • Partial PCI capability in transferring hospitals was associated with decreased survival.
  • Lower quality of receiving hospitals also correlated with reduced survival rates.
  • Transferring STEMI patients to facilities with partial PCI capability or lower quality care negatively impacts survival.

Conclusions:

  • Interhospital transfer decisions for STEMI patients should prioritize quality of care and PCI capability.
  • Transfers driven by factors other than distance and quality may compromise patient outcomes.
  • Improving STEMI transfer protocols is essential to reduce mortality.
Abstract

Keywords:
Interhospital transferMedicareRural hospitalsSTEMI

More Related Videos

Delayed Intramyocardial Delivery of Stem Cells after Ischemia Reperfusion Injury in a Murine Model07:50

Delayed Intramyocardial Delivery of Stem Cells after Ischemia Reperfusion Injury in a Murine Model

Published on: September 3, 2020

5.0K
Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction05:26

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

9.6K

Related Concept Videos

Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
772
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
211
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
326
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
168
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
204
Angina V: Nursing Management01:20

Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
283