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A Decade of Progress in Regional ST-Segment Elevation Myocardial Infarction Systems of Care: A Tale of Two Cities
David C. Lange1, Ivan C. Rokos2, David C. Larson3, Scott W. Sharkey3, William J. French4, William J. Koenig5, Timothy D. Henry1
1 Division of Cardiology, Cedars-Sinai Heart Institute, Los Angeles, CA
2 Department of Emergency Medicine, The David Geffen School of Medicine at UCLA, Los Angeles, CA
3 Division of Cardiology, Minneapolis Heart Institute, Minneapolis, MN
4 Division of Cardiology, Harbor UCLA Medical Center, Los Angeles, CA
5 Department of Emergency Medicine, Long Beach Memorial Medical Center, Long Beach, CA
Rev. Cardiovasc. Med. 2016, 17(1-2), 1–6; https://doi.org/10.3909/ricm0808
Published: 30 March 2016
Over the past 20 years, care for patients with ST-elevation myocardial infarction (STEMI) has rapidly evolved, not just in terms of how patients are treated, but where patients are treated. The advent of regional STEMI systems of care has decreased the number of “eligible but untreated” patients while improving access to primary percutaneous coronary intervention for patients. These regional STEMI systems of care have consistently demonstrated that rapid transport of STEMI patients is safe and effective, and have shown marked improvements in a variety of clinical outcomes. However, no two STEMI systems are alike, and each must be tailored to the unique geographic, political, and socioeconomic challenges of the region. This article takes an in-depth look at two of the earliest STEMI systems within the United States: the Minneapolis Heart Institute and the Los Angeles County STEMI receiving network.
Systems of care
Health services research