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Clinical TherapeuticsFree Preview

Primary PCI for Myocardial Infarction with ST-Segment Elevation

List of authors.
  • Ellen C. Keeley, M.D.,
  • and L. David Hillis, M.D.

A 58-year-old man has chest pain at 9:30 a.m.; 3 hours later, he calls for an ambulance. Paramedics arrive, provide standard treatment, and transport him to the nearest emergency department. On his arrival at a small hospital at 1 p.m., the findings are diagnostic of a myocardial infarction with ST-segment elevation. The emergency department physician recommends immediate transfer to a hospital 1 hour away for primary percutaneous coronary intervention (PCI).

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Funding and Disclosures

No potential conflict of interest relevant to this article was reported.

A video animation showing balloon angioplasty and stent placement is available with the full text of this article at www.nejm.org.

Author Affiliations

From the Department of Internal Medicine (Cardiology Division), University of Virginia School of Medicine, Charlottesville (E.C.K.); and the Department of Internal Medicine (Cardiology Division), University of Texas Southwestern Medical Center, Dallas (L.D.H.).

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