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Myocardial infarction with ST-segment elevation: acute management [CG167]

Measuring the use of this guidance

Recommendation: 1.1.3

Deliver coronary reperfusion therapy (either primary PCI or fibrinolysis) as quickly as possible for eligible people with acute STEMI.

What was measured: Eligible patients who received pPCI within 150 minutes of calling for help (call-to-balloon) including those admitted directly or transferred to a Heart Attack Centre.
Data collection end: March 2014
82.3%
Number that met the criteria: / 17354
Data collection end: March 2015
82.8%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

What was measured: Eligible patients who received pPCI within 90 minutes of arrival at Heart Attack Centre (door to balloon).
Data collection end: March 2014
92.1%
Number that met the criteria: / 18482
Data collection end: March 2015
88.9%
Data collection end: March 2016
88.9%
Data collection end: March 2017
88.6%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

What was measured: Proportion of patients who received primary PCI within 150 minutes of call for professional help.
Data collection end: March 2015
82.3%
Data collection end: March 2016
74.9%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.

What was measured: Proportion of adults with acute STEMI who present within 12 hours of onset of symptoms who receive primary PCI within 150 minutes of the call for professional help.
Data collection end: March 2017
72.3%
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.


Recommendation: 1.1.4

Offer coronary angiography, with follow-on primary PCI if indicated, as the preferred coronary reperfusion strategy for people with acute STEMI if: • presentation is within 12 hours of onset of symptoms and • primary PCI can be delivered within 120 minutes of the time when fibrinolysis could have been given

What was measured: Proportion of patients with STEMI that received pPCI compared to thrombolytic treatment
Data collection end: March 2014
97.6%
Number that met the criteria: / 21096
Area covered: National
Source: National Institute for Cardiovascular Outcomes Research. Myocardial Ischaemia National Audit Project.



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