Their study (including almost 10,000 patients) showed that a strategy with early diagnosis based on ECG recording in the ambulance and directing the patients straight to the catherization laboratory in the Primary PCI Centre, was associated with a lower mortality.
Direct access to PPCI is unfortunately still not possible in many European countries. A survey from 2007/8 showed that only 40% of European patients with ST-elevation myocardial infarction are treated with primary PCI.
The Stent for Life Initiative launched by the ESC, the EAPCI and EuroPCR is aiming to support the implementation of primary PCI in the ESC countries. Selected target countries are Bulgaria, Egypt, France, Greece, Italy, Portugal, Romania, Serbia, Spain and Turkey.
The barriers for implementation are a complex mix of medical, organizational, patient-related, regulatory and economic factors and differ from country to country. Therefore the action plan for implementation is tailored to the specific needs of each country and managed at country level by the country SFL Initiative supported by national cardiology societies. Preliminary data from several countries show an increase in the numbers of primary PCIs performed after the SFL action plan was launched. More detailed information about changes in availability of primary PCI in Europe will be available next year where the result of the ongoing 2011 survey will be presented.
The activities at the national level are undertaken in close collaboration with the Emergency Medical Service and transportation protocol and campaigns are worked out to decrease treatment delay. System delay can be decreased by an effective pre-hospital diagnosis and triage.
Reduction of patient delay in contacting services is another main target. An important strategy for the Stent for Life Initiative is therefore to launch public awareness campaigns to educate the population about ACS symptoms in order to encourage patients to call the Emergency Medical Services directly by telephone in the event of an acute onset of chest pain.
Professor Kristensen, Steen Dalby (Aarhus, Denmark )
ESC Press Office
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Notes to editor
About the European Society of Cardiology
The European Society of Cardiology (ESC) represents more than 71,200 cardiology professionals across Europe and the Mediterranean. Its mission is to reduce the burden of cardiovascular disease in Europe.
About ESC Congress 2011
ESC Congress 2011 will take place from 27 to 31 August at the Parc des Expositions – Paris Nord Villepinte, France. Information on the scientific programme is available here. More information on ESC Congress 2011 is available from the ESC Press Office or contact us at firstname.lastname@example.org
This press release accompanies both a presentation and an ESC press conference at the ESC Congress 2011.
OPTIMAL REPERFUSION IN STEMI (presentation on Stent for Life and abstract 83408: CJ Terkelsen et al, Primary percutaneous coronary intervention as a national reperfusion strategy in patients with ST-elevation myocardial infarction: eleven years of experience from the Western Denmark Heart Registry.)
The press release has been written by the investigator and edited by the ESC and does not necessarily reflect the opinion of the European Society of Cardiology.