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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/cdn\/css\/http\/css_Xg7z6oCTVgud_Q0huYz9x9iiD5H_2YPSJ5z2ZViSWdY.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EThe Stent for Life program is a joint initiative to improve the delivery of and patient access to percutaneous coronary intervention to reduce the morbidity and mortality of patients suffering from acute coronary syndromes. This article reviews the objectives of Stent for Life and the three stages completed to date.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EMyocardial Infarction\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EInterventional Techniques \u0026amp; Devices\u003C\/li\u003E\u003C\/ul\u003E\u003Cul class=\u0022kwd-group clinical-trial\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiology \u0026amp; Cardiovascular Medicine\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EMyocardial Infarction\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EInterventional Techniques \u0026amp; Devices\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EThe Stent for Life (SFL) program is a joint initiative to improve the delivery of and patient access to percutaneous coronary intervention (PCI) to reduce the morbidity and mortality of patients suffering from acute coronary syndromes (ACS). The founding partners in this program are the European Association of Percutaneous Cardiovascular Interventions (EAPCI), a registered branch of the European Society of Cardiology, and EuroPCR. Petr Kala, MD, Brno, Czech Republic, SFL Chairman, reviewed the objectives of Stent for Life and the three stages completed to date.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EThe objectives of Stent for Life Initiative are to define the regions and countries with an unmet medical need for optimal treatment of ACS, and to implement an action program to increase patient access to primary PCI where it is needed. In terms of patient access, the goals are to increase primary PCI to \u0026gt;70% among all patients with ST-segment elevation myocardial infarction (STEMI) and to provide 24\/7 service for primary PCI at all invasive facilities to meet the needs of the STEMI population.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EPhase 1 of Stent for Life comprised situation mapping and data collection during 2008 and 2009 to assess the current situation in 30 countries. Along with defining the rates of primary PCI, thrombolysis, and no reperfusion for STEMI, they found that the rates of primary PCI were not correlated to gross domestic product of the country [Widimsky P et al. \u003Cem\u003EEur Heart J\u003C\/em\u003E 2010]. On average, only 51% of STEMI patients arrive to the first hospital by emergency medical services (EMS), and 46% of STEMI patients were untreated despite a nationwide \u201cthrombolytic strategy\u201d program.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EPhase II evaluated how to improve access to primary PCI based on the experience of best practice countries. Strategies found to reduce system delays included building an effective primary PCI network, strengthening the role of EMS, and decreasing transportation time. An awareness campaign called \u201cACT NOW. SAVE A LIFE\u201d was created to educate public about heart attack symptoms and the need to act and call an emergency number to reduce patient delay in seeking medical treatment [Knot J et al. \u003Cem\u003EEuroIntervention\u003C\/em\u003E 2009].\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EThe implementation of Stent for Life from 2009 to 2013 comprised Phase 3. Currently there are 17 national cardiac societies and organizations actively involved in SFL in Europe and Asia. Prof. Kala reviewed the achievements attained in Romania, which joined SFL in 2010. Five STEMI networks with 10 hospitals with cardiac catheterization labs were identified to provide 24\/7 primary PCI service under this government program.\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003EAn additional eight primary PCI centers will be opened by 2015 [Kristensen SD et al. \u003Cem\u003EEuroIntervention\u003C\/em\u003E 2012]. The Romanian national program has resulted in an increase of patients treated with primary PCI, decreases in the utilization of thrombolysis, and a decrease in the number patients with STEMI who do not undergo reperfusion therapy. The number of primary PCIs performed increased from 40 per million inhabitants in 2009, to 64 in 2010, and to 210 in 2011.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003EThe Stent for Life program identified factors that contribute to the delay in treating STEMI patients and targets for providing intervention (\u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E). The first factor found to delay the timing of therapy was the length of time between the onset of a patient\u0027s symptoms to the first medical contact. Public service campaigns designed to increase awareness of symptoms of myocardial infarction have been developed to reduce this potential for delay in therapy. Efforts of the Stent for Life program have focused on reducing the delays in reperfusion that can occur after patients present to the healthcare system.\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/13\/7\/29\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Components That Contribute to Delayed Treatment for STEMI and Ideal Time Intervals for Intervention\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-1078873466\u0022 data-figure-caption=\u0022Components That Contribute to Delayed Treatment for STEMI and Ideal Time Intervals for Intervention\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/13\/7\/29\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/13\/7\/29\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/13\/7\/29\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/13370\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption attrib\u0022\u003E\u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \n            \u003Cp id=\u0022p-9\u0022 class=\u0022first-child\u0022\u003EComponents That Contribute to Delayed Treatment for STEMI and Ideal Time Intervals for Intervention\u003C\/p\u003E\n         \u003Cq class=\u0022attrib\u0022 id=\u0022attrib-1\u0022\u003EFMC=first medical contact; PCI=percutaneous coronary intervention.\u003C\/q\u003E\u003Cq class=\u0022attrib\u0022 id=\u0022attrib-2\u0022\u003EAdapted from Steg G et al. \u003Cem\u003EEur Heart J\u003C\/em\u003E 2012.\u003C\/q\u003E\u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2013 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/13\/7\/29.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzntk2\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzntk2\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}