Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org
Reaching new horizons and the politic imperative of ST-segment elevation myocardial infarction care
1 Cardiovascular Division, King's College London, The James Black Centre, 125 Coldharbour Lane, London SE5 9NU, UK
2 Department of Cardiology, King's College Hospital NHS Foundation Trust, London SE5 9RS, UK
* Corresponding author. Tel: +44 207 848 52128. E-mail address: jonathan.hil@kch.nhs.uk
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Deep change, fundamental system change, requires an incontrovertible evidence base on which to act. It also requires the development of a common agenda, which despite lofty ambitions, has not always been achievable in a European context. The European Society of Cardiology (ESC) ST-segment elevation myocardial infarction (STEMI) guidelines from 2003 attempted to lay out a clear strategy of an idealized common pathway largely based on the concept of timely delivery of pharmacological management as the modus operandi for minimizing the damage from myocardial infarction (MI). The intervening 5 years has seen a dramatic acceleration in the