American Journal of Cardiology
Volume 95, Issue 11 , Pages 1361-1363, 1 June 2005

Relation of Interhospital Delay and Mortality in Patients With ST-Segment Elevation Myocardial Infarction Transferred for Primary Coronary Angioplasty

Department of Cardiology, ISALA Klinieken, Hospital De Weezenlanden, Zwolle, The Netherlands

Received 28 October 2004; accepted 18 January 2005.

The aim of the present study was to evaluate the impact of interhospital delay on mortality in 616 patients with ST-segment elevation myocardial infarction transferred for primary angioplasty to our hospital. Longer interhospital delay was associated with impaired perfusion, larger infarct size, and higher 1-year mortality (adjusted RR 1.5, 95% confidence interval 1.07 to 2.12; p = 0.019). These results suggest that in patients with ST-segment elevation myocardial infarction transferred for primary angioplasty, all efforts should be made to reduce time to treatment.

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PII: S0002-9149(05)00371-1

doi:10.1016/j.amjcard.2005.01.083

American Journal of Cardiology
Volume 95, Issue 11 , Pages 1361-1363, 1 June 2005

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