1ry PCI in SPAIN

1ry PCI in Spain; Total Numbers

1ry PCI in Spain; Total # & Δ (%)

1ry PCI in Spain; Total nº & 1ry PCI/Total PCI%

85 % of al AMI are treated with 1ry PCI

•200 patients transferred back to their referring hospitals

(median 8 h) vs 297 in house

•No complications during transfer.

•No difference in:•Mortality•Readmission•Ischemic complications•Stroke•Composite (11.2% vs 9%

•1662 pts referred for 1ry PCI between 2003-8.

•No coronary lesions in 120 (7.2%).

•Alternative diagnosis in 104 (6.3%).•No increase in false alarms if the system was activated through the emergency medical service.

Is there a relationship between PCI use and 1ry PCI?

Na

GaMu

P.V.

PCI and 1ry PCI

24 h Duty and 1ry PCI

Summary

1. 1ry PCI use in Spain is scarce, as compared to current EU standards

2. The rate of 1ry PCI seems related to the

application of specific programs for reperfusion,

but is not related to the the number of 24 h

facilities, PCI or total # of PCI.