Systems of Care for ST-Segment-Elevation Myocardial Infarction: A Policy Statement from the American Heart Association

Alice K. Jacobs; Murtuza J. Ali; Patricia J. Best; Mark C. Bieniarz; Vincent J. Bufalino; William J. French; Timothy D. Henry; Lori Hollowell; Edward C. Jauch; Michael C. Kurz; Michael Levy; Puja Patel; Travis Spier; R. Harper Stone; Katie L. Tataris; Randal J. Thomas; Jessica K. Zègre-Hemsey

doi:10.1161/CIR.0000000000001025

Systems of Care for ST-Segment-Elevation Myocardial Infarction: A Policy Statement from the American Heart Association

Alice K. Jacobs, Murtuza J. Ali, Patricia J. Best, Mark C. Bieniarz, Vincent J. Bufalino, William J. French, Timothy D. Henry, Lori Hollowell, Edward C. Jauch, Michael C. Kurz, Michael Levy, Puja Patel, Travis Spier, R. Harper Stone, Katie L. Tataris, Randal J. Thomas, Jessica K. Zègre-Hemsey

Cardiovascular Medicine

Research output: Contribution to journal › Review article › peer-review

Abstract

The introduction of Mission: Lifeline significantly increased timely access to percutaneous coronary intervention for patients with ST-segment-elevation myocardial infarction (STEMI). In the years since, morbidity and mortality rates have declined, and research has led to significant developments that have broadened our concept of the STEMI system of care. However, significant barriers and opportunities remain. From community education to 9-1-1 activation and emergency medical services triage and from emergency department and interfacility transfer protocols to postacute care, each critical juncture presents unique challenges for the optimal care of patients with STEMI. This policy statement sets forth recommendations for how the ideal STEMI system of care should be designed and implemented to ensure that patients with STEMI receive the best evidence-based care at each stage in their illness.

Original language	English (US)
Pages (from-to)	E310-E327
Journal	Circulation
Volume	144
Issue number	20
DOIs	https://doi.org/10.1161/CIR.0000000000001025
State	Published - Nov 16 2021

Keywords

AHA Scientific Statements
ST-segment-elevation myocardial infarction
cardiac systems of care

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1161/CIR.0000000000001025

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Jacobs, A. K., Ali, M. J., Best, P. J., Bieniarz, M. C., Bufalino, V. J., French, W. J., Henry, T. D., Hollowell, L., Jauch, E. C., Kurz, M. C., Levy, M., Patel, P., Spier, T., Stone, R. H., Tataris, K. L., Thomas, R. J., & Zègre-Hemsey, J. K. (2021). Systems of Care for ST-Segment-Elevation Myocardial Infarction: A Policy Statement from the American Heart Association. Circulation, 144(20), E310-E327. https://doi.org/10.1161/CIR.0000000000001025

Jacobs, AK, Ali, MJ, Best, PJ, Bieniarz, MC, Bufalino, VJ, French, WJ, Henry, TD, Hollowell, L, Jauch, EC, Kurz, MC, Levy, M, Patel, P, Spier, T, Stone, RH, Tataris, KL, Thomas, RJ & Zègre-Hemsey, JK 2021, 'Systems of Care for ST-Segment-Elevation Myocardial Infarction: A Policy Statement from the American Heart Association', Circulation, vol. 144, no. 20, pp. E310-E327. https://doi.org/10.1161/CIR.0000000000001025

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abstract = "The introduction of Mission: Lifeline significantly increased timely access to percutaneous coronary intervention for patients with ST-segment-elevation myocardial infarction (STEMI). In the years since, morbidity and mortality rates have declined, and research has led to significant developments that have broadened our concept of the STEMI system of care. However, significant barriers and opportunities remain. From community education to 9-1-1 activation and emergency medical services triage and from emergency department and interfacility transfer protocols to postacute care, each critical juncture presents unique challenges for the optimal care of patients with STEMI. This policy statement sets forth recommendations for how the ideal STEMI system of care should be designed and implemented to ensure that patients with STEMI receive the best evidence-based care at each stage in their illness.",

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AU - French, William J.

AU - Henry, Timothy D.

AU - Hollowell, Lori

AU - Jauch, Edward C.

AU - Kurz, Michael C.

AU - Levy, Michael

AU - Patel, Puja

AU - Spier, Travis

AU - Stone, R. Harper

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AB - The introduction of Mission: Lifeline significantly increased timely access to percutaneous coronary intervention for patients with ST-segment-elevation myocardial infarction (STEMI). In the years since, morbidity and mortality rates have declined, and research has led to significant developments that have broadened our concept of the STEMI system of care. However, significant barriers and opportunities remain. From community education to 9-1-1 activation and emergency medical services triage and from emergency department and interfacility transfer protocols to postacute care, each critical juncture presents unique challenges for the optimal care of patients with STEMI. This policy statement sets forth recommendations for how the ideal STEMI system of care should be designed and implemented to ensure that patients with STEMI receive the best evidence-based care at each stage in their illness.

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Systems of Care for ST-Segment-Elevation Myocardial Infarction: A Policy Statement from the American Heart Association

Abstract

Keywords

ASJC Scopus subject areas

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