Lessons Learned from the Ottawa Regional STEMI Program

Michel R Le May; Melissa S K Blondeau

doi:10.1016/j.iccl.2012.06.012

Lessons Learned from the Ottawa Regional STEMI Program

Interv Cardiol Clin. 2012 Oct;1(4):567-582. doi: 10.1016/j.iccl.2012.06.012. Epub 2012 Aug 20.

Authors

Michel R Le May¹, Melissa S K Blondeau²

Affiliations

¹ Department of Medicine, Division of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ontario K1Y 4W7, Canada. Electronic address: [email protected].
² Department of Medicine, Division of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ontario K1Y 4W7, Canada.

PMID: 28581970
DOI: 10.1016/j.iccl.2012.06.012

Abstract

Percutaneous coronary intervention (PCI) has become the dominant strategy for the treatment of ST-segment elevation myocardial infarction (STEMI) when rapid access to a catheterization facility is available. In communities where primary PCI is not feasible, a pharmacoinvasive strategy has become a recommended option. At the University of Ottawa Heart Institute, a care delivery model has been developed in which primary PCI and pharmacoinvasive strategies are applied for an entire region. This article reviews the lessons learned in setting up and maintaining a regional STEMI program.

Keywords: Acute myocardial infarction; Pharmacoinvasive strategy; Primary angioplasty; STEMI.

Publication types

Review