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Regionalization of ST-segment elevation acute coronary syndromes care is discussed

Published in Cardiovascular Week, May 29th, 2006

Clearer evidence of the benefits and discussion of potential harms are needed before adopting a national STEMI regionalization policy.

According to a recent article in the Journal of the American College of Cardiology, "A uniform policy for regionalization of ST-segment elevation myocardial infarction (STEMI) care raises several concerns."

S.S. Rathore and colleagues at the Yale University School of Medicine in New Haven explained, "Transferring all STEMI patients to obtain primary percutaneous coronary intervention (PCT) may be less effective than transferring only high-risk STEMI patients. Delays in time to treatment >60 min associated...

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