Inside out

Primary PCI has changed AMI outcomes: how can we further improve short and long-term results?

Sergio Berti
CNR Institute, Massa, Italy

One of the critical points is the organisation out of the hospital. By that I mean the network for ST elevation management, because in-hospital treatment is very high profile now in the majority of the hospitals. Before the patients arrival we could improve and use the time improving the organisation of the network.

Fabio Tarantino
Morgagni Hospital, Forli, Italy

For me the 2 key points are, first, to improve organisation in order to reduce time and optimise door to ballon time, with a good emergency unit and interventional cardiology. The second point is when we have some evidence that DES are safe in all AMI patients, when we have this evidence, long-term results should be better than now.

Baek Ju Yeol
St Mary's Hospital, Seoul, South Korea

Primary PCI has lead us to improve long-term mortality and morbidity and I think generally speaking it is a kind of trend to primary PCI performing. Acute coronary syndrome and STEMI is dealt with by primary PCI.

Ozlem Ozbek
ULB Erasme Hospital, Brussels, Belgium

Primary PCI of course has changed the acute MI outcome, especially the time to begin the procedure is already in all groups is very important. In our institution for example, it takes maximum 2 hours to begin the procedure and it depends on the equipment which must be ready 24 hours a day. The structure of the city where we practice is important, for example in Brussels it is easy to reach hospital and the quality of equipment in the success of the procedure is very important.