title: [Primary percutaneous coronary intervention (pPCI) in hospital without regional cardiac surgery support, data from Split region].
abstract: OBJECTIVE
  The aim of our study was to investigate the feasibility of pPCI in hospital without cardiac surgery, and to compare our "real-world" results to current guidelines and historical controls.
  
  
  METHODS
  Data of all STEMI patients treated by PCI were prospectively recorded.
  
  
  RESULTS
  From January 2005 through October 2007, 366 consecutive patients with STEMI were enrolled. In-hospital mortality was 6.3%, as compared to 15% (87/543) in historical records of a three year period before pPCI program was developed. Pain to balloon time was 315 minutes, pain to first medical contact was 102 minutes, first medical contact to door was 94 minutes, door to cathlab time was 84 minutes, cathlab to balloon time was 45 minutes, and door to balloon time was 129 minutes.
  
  
  CONCLUSIONS
  Our preliminary experience indicates that implementation of pPCI in a hospital without regional cardiac surgical back-up is feasible and offers significant mortality reduction in STEMI patients. Intrahospital time delays should be managed aggressively.
authors: Klinicki odjel za bolesti srca i krvnih zila, Klinika za unutarnje bolesti Medicinskog fakulteta Sveucilista u Splitu, KBC Split.
authors: Lovel
authors: L
authors: Giunio
authors: Ivica
authors: I
authors: Vuković
authors: Darko
authors: D
authors: Duplancić
authors: Dinko
authors: D
authors: Mirić
authors: Branimir
authors: B
authors: Marković
authors: Jaksa
authors: J
authors: Zanchi
authors: Ivica
authors: I
authors: Kristić
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000706:statistics & numerical data*; D017523:Croatia; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors