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3 January 2017

Emergency and Same Day Cases: Need for Regional 24/7 services

Charles Knight

Outline of the London Cardiovascular Project, aiming to improve regional 24/7 services for NSTEMI

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Summary

Discussion of the evidence to date examining early vs delayed PCI in NSTEMI and the rationale for improving the regional NSTEMI pathway in London. Key recommendations include early diagnosis and risk stratification, offering early PCI to those patients of high risk and optimisation of transfer for patients presenting at a non-PCI centre. Dr Knight describes the NE London experience pre- and post-Heart Attack Centre development, presenting data outlining an improvement in the proportion of patients receiving angiography within 96 hours (18 to 90%) and reduction in mean waiting time to angiography (7 days to 1 day).

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Summary

Discussion of the evidence to date examining early vs delayed PCI in NSTEMI and the rationale for improving the regional NSTEMI pathway in London. Key recommendations include early diagnosis and risk stratification, offering early PCI to those patients of high risk and optimisation of transfer for patients presenting at a non-PCI centre. Dr Knight describes the NE London experience pre- and post-Heart Attack Centre development, presenting data outlining an improvement in the proportion of patients receiving angiography within 96 hours (18 to 90%) and reduction in mean waiting time to angiography (7 days to 1 day).

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