engleski

CROATIAN PRIMARY PCI NETWORK – DID WE FORGET SOMEONE?

Croatian Primary PCI Network was introduced in the middle of 2005 organizing eight high-volume PCI centers and all county hospitals across Croatia. Between Sep 1st 2005 and Aug 31st 2007 authors prospectively investigated 1190 patients with acute STEMI who were treated with primary PCI in quoted eight high-volume PCI centers. Investigated patients were either citizens of major Croatian cities (non-transported, 677 pts) or they were urgently transported from outside regions (transported, 513 pts). Among all investigated patients 75% were male, average age was 60 years. The main goal of Croatian Primary PCI Network was to achieve equal quality treatment of acute STEMI in all parts of our country. First results show that such network can ensure equal prognosis for acute STEMI patients in all parts of country. In post-analysis authors compared percentages and results of short- and long-term prognosis of different age, gender and clinical severity groups among transported and non-transported patients. In conclusion, non-adequate selection of STEMI patients transported for primary PCI on county hospital level results in avoidance of optimal treatment for some of them.

acute myocardial infarction; primary PCI; network

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