Timely reperfusion

Identifying and definitional attributes

Metadata item type:Help on this termOutcome Area
METEOR identifier:Help on this term624371
Registration status:Help on this term
Description:Help on this term

A patient with an acute ST-segment-elevation myocardial infarction (STEMI), for whom emergency reperfusion is clinically appropriate, is offered timely percutaneous coronary intervention (PCI) or fibrinolysis in accordance with the time frames recommended by the National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand (2011).

In general, primary PCI is recommended if the time from first medical contact to balloon inflation is anticipated to be less than 90 minutes, otherwise the patient is offered fibrinolysis.

Relational attributes

Indicator sets linked to this outcome area:Help on this term

Clinical care standard indicators: acute coronary syndromesHealth, Standard 12/09/2016

Indicators linked to this outcome area:Help on this term

Acute coronary syndromes: 3a-STEMI patients receiving fibrinolysis or PCIHealth, Standard 12/09/2016

Acute coronary syndromes: 3b-STEMI patients receiving fibrinolysis within 30 minutes of hospital arrivalHealth, Standard 12/09/2016

Acute coronary syndromes: 3c-PCI patients with STEMI with door-to-device within 90 minutesHealth, Standard 12/09/2016

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2014. Acute coronary syndromes clinical care standard. Sydney: ACSQHC.

National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand 2011. Acute coronary syndromes treatment algorithm. National Heart Foundation of Australia and The Cardiac Society of Australia and New Zealand. Viewed May 2014, http://heartfoundation.org.au/images/uploads/publications/ ACS_therapy_algorithm-printable.pdf.