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Previous Volume 358:1751-1753 April 17, 2008 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Le May et al. (Jan. 17 issue)¹ achieved guideline-recommended door-to-balloon times of less than 90 minutes for 79.7% of patients with ST-segment elevation myocardial infarction when paramedics interpreted the electrocardiograms (ECGs) and directly referred the patients to a percutaneous coronary intervention (PCI) center, as compared with 11.9% of patients referred from emergency departments of the area's hospitals (including the PCI center). Since about 50% of patients with ST-segment elevation myocardial infarction transport themselves to the hospital,² they would not benefit from this approach and would be at risk for undergoing treatment after the recommended door-to-balloon time. Exceeding . . . [Full Text of this Article]

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