Open AccessPercutaneous coronary interventions in a rural hospital without surgical backup: Report of one year of experience
Author(s) -
Brown Daniel C.,
Mogelson Stanley,
Harris Reed,
Kemp David,
Massey Maryls
Publication year - 2006
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960290804
Subject(s) - medicine , conventional pci , percutaneous coronary intervention , myocardial infarction , psychological intervention , emergency medicine , percutaneous , rural area , population , cardiology , medical emergency , intensive care medicine , environmental health , nursing , pathology
This paper demonstrates that percutaneous coronary intervention (PCI) can be provided in a rural setting with results that are at least as good as the national average without untoward risk to the patient. Percutaneous coronary intervention is the initial treatment of choice for acute myocardial infarction (AMI). Historically, PCI has been available in metropolitan areas, yet 20% of the population lives in rural areas. Rural patients with AMI may not be receiving optimal care, especially if PCI is not readily available. In a rural setting, door‐to‐balloon time for patients with acute ST‐elevation MI was 67.66 ± 30.80 min. This is significantly better than the 186 min reported in the National Registry Myocardial Infarction (NRMI). These results were achieved with a complication rate that was not significantly different from national averages. This study demonstrates that PCI can be provided safely and with good results in a rural setting.