{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T07:23:36Z","timestamp":1772954616738,"version":"3.50.1"},"reference-count":24,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019416","name":"Manitoba Centre for Health Policy, University of Manitoba","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019416","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010318","name":"University of Manitoba","doi-asserted-by":"publisher","award":["HS22575"],"award-info":[{"award-number":["HS22575"]}],"id":[{"id":"10.13039\/100010318","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010318","name":"University of Manitoba","doi-asserted-by":"publisher","award":["H2019:062"],"award-info":[{"award-number":["H2019:062"]}],"id":[{"id":"10.13039\/100010318","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cjcopen.ca","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["CJC Open"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.cjco.2025.07.005","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T23:54:33Z","timestamp":1752623673000},"page":"1466-1473","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of Non-ST Elevation Myocardial Infarction Patients by Presentation Site: Rural, Urban Community, or Specialized Cardiac Hospital"],"prefix":"10.1016","volume":"7","author":[{"given":"Evan J.","family":"Wiens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristal L.","family":"Kawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia J.","family":"Leon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reid","family":"Whitlock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Setor","family":"Kunutsor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navdeep","family":"Tangri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9396-7178","authenticated-orcid":false,"given":"Ashish H.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.cjco.2025.07.005_bib1","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.120.019305","article-title":"Disparities in emergency medical services time intervals for patients with suspected acute coronary syndrome: findings from the North Carolina Prehospital Medical Information System","volume":"10","author":"Cui","year":"2021","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.cjco.2025.07.005_bib2","article-title":"Acute coronary syndrome treatment delay in low to middle-income countries: a systematic review","volume":"35","author":"Beza","year":"2021","journal-title":"Int J Cardiol Heart Vasc"},{"key":"10.1016\/j.cjco.2025.07.005_bib3","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.ajem.2021.11.038","article-title":"Prehospital time for patients with acute cardiac complaints: a rural health disparity","volume":"52","author":"Ashburn","year":"2022","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.cjco.2025.07.005_bib4","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.115.002447","article-title":"Area median income and metropolitan versus nonmetropolitan location of care for acute coronary syndromes: a complex interaction of social determinants","volume":"5","author":"Fabreau","year":"2016","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.cjco.2025.07.005_bib5","first-page":"85","article-title":"Investigation and treatment after non-ST segment elevation acute coronary syndrome for patients presenting to rural or urban hospitals in Aotearoa New Zealand: ANZACS-QI 75","volume":"136","author":"Miller","year":"2023","journal-title":"N Z Med J"},{"key":"10.1016\/j.cjco.2025.07.005_bib6","first-page":"207","article-title":"The effect of place of residence on access to invasive cardiac services following acute myocardial infarction","volume":"25","author":"Hassan","year":"2009","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjco.2025.07.005_bib7","first-page":"276","article-title":"Pre-hospital delay in patients with acute myocardial infarction in China: findings from the Improving Care for Cardiovascular Disease in China-Acute Coronary Syndrome (CCC-ACS) project","volume":"19","author":"Hu","year":"2022","journal-title":"J Geriatr Cardiol"},{"key":"10.1016\/j.cjco.2025.07.005_bib8","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC guidelines for the management of acute coronary syndromes","volume":"44","author":"Byrne","year":"2023","journal-title":"Eur Heart J"},{"key":"10.1016\/j.cjco.2025.07.005_bib9","first-page":"107","article-title":"2019 Canadian Cardiovascular Society\/Canadian Association of Interventional Cardiology guidelines on the acute management of ST-elevation myocardial infarction: focused update on regionalization and reperfusion","volume":"35","author":"Wong","year":"2019","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjco.2025.07.005_bib10","doi-asserted-by":"crossref","first-page":"330","DOI":"10.34172\/jcvtr.2021.52","article-title":"Adherence to dual antiplatelet therapy after coronary stenting: a study conducted at two Vietnamese hospitals","volume":"13","author":"Tien Hoang","year":"2021","journal-title":"J Cardiovasc Thorac Res"},{"key":"10.1016\/j.cjco.2025.07.005_bib11","first-page":"27","article-title":"Outcomes and access to angiography following non-ST-segment elevation acute coronary syndromes in patients who present to rural or urban hospitals: ANZACS-QI 72","volume":"136","author":"Miller","year":"2023","journal-title":"N Z Med J"},{"key":"10.1016\/j.cjco.2025.07.005_bib12","first-page":"1131","article-title":"Population data centre profile: the Manitoba Centre for Health Policy","volume":"4","author":"Katz","year":"2020","journal-title":"Int J Popul Data Sci"},{"key":"10.1016\/j.cjco.2025.07.005_bib13","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1093\/jamia\/ocx078","article-title":"Assessing the quality of administrative data for research: a framework from the Manitoba Centre for Health Policy","volume":"25","author":"Smith","year":"2018","journal-title":"J Am Med Inform Assoc"},{"key":"10.1016\/j.cjco.2025.07.005_bib14","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4066\/AMJ.2014.1921","article-title":"Acute coronary syndrome in Australia: Where are we now and where are we going?","volume":"7","author":"Nadel","year":"2014","journal-title":"Australas Med J"},{"key":"10.1016\/j.cjco.2025.07.005_bib15","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1536\/ihj.53.160","article-title":"Impact of total occlusion of an infarct-related artery on long-term mortality in acute non-ST-elevation myocardial infarction patients who underwent early percutaneous coronary intervention","volume":"53","author":"Kim","year":"2012","journal-title":"Int Heart J"},{"key":"10.1016\/j.cjco.2025.07.005_bib16","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1016\/j.ahj.2009.01.004","article-title":"Incidence, distribution, and prognostic impact of occluded culprit arteries among patients with non-ST-elevation acute coronary syndromes undergoing diagnostic angiography","volume":"157","author":"Wang","year":"2009","journal-title":"Am Heart J"},{"key":"10.1016\/j.cjco.2025.07.005_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.jacadv.2024.101314","article-title":"From ST-segment elevation MI to occlusion MI: the new paradigm shift in acute myocardial infarction","volume":"3","author":"McLaren","year":"2024","journal-title":"JACC Adv"},{"key":"10.1016\/j.cjco.2025.07.005_bib18","doi-asserted-by":"crossref","first-page":"3082","DOI":"10.1093\/eurheartj\/ehx418","article-title":"Impact of total occlusion of culprit artery in acute non-ST elevation myocardial infarction: a systematic review and meta-analysis","volume":"38","author":"Khan","year":"2017","journal-title":"Eur Heart J"},{"key":"10.1016\/j.cjco.2025.07.005_bib19","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1007\/s00392-010-0269-9","article-title":"Incidence and distribution of occluded culprit arteries and impact of coronary collaterals on outcome in patients with non-ST-segment elevation myocardial infarction and early invasive treatment strategy","volume":"100","author":"Bahrmann","year":"2011","journal-title":"Clin Res Cardiol"},{"key":"10.1016\/j.cjco.2025.07.005_bib20","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.121.024835","article-title":"Hospital-level variation in ticagrelor use in patients with acute coronary syndrome","volume":"11","author":"Ozaki","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.cjco.2025.07.005_bib21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0254941","article-title":"Incidence, predictors, and outcomes of DAPT non-compliance in planned vs. ad hoc PCI in chronic coronary syndrome","volume":"16","author":"Malik","year":"2021","journal-title":"PloS One"},{"key":"10.1016\/j.cjco.2025.07.005_bib22","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-020-68915-1","article-title":"Medication adherence and its determinants in patients after myocardial infarction","volume":"10","author":"Pietrzykowski","year":"2020","journal-title":"Sci Rep"},{"key":"10.1016\/j.cjco.2025.07.005_bib23","first-page":"1503","article-title":"My MI; here or there, I get great care: Is tertiary-care hospital acute myocardial infarction management really better?","volume":"30","author":"Stone","year":"2014","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.cjco.2025.07.005_bib24","first-page":"1562","article-title":"Outcomes and transfer patterns for first non-ST-elevation myocardial infarction (NSTEMI): comparisons between community and tertiary care hospitals","volume":"30","author":"Sedlak","year":"2014","journal-title":"Can J Cardiol"}],"container-title":["CJC Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589790X25004688?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589790X25004688?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T20:25:40Z","timestamp":1772915140000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589790X25004688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S2589790X25004688"],"URL":"https:\/\/doi.org\/10.1016\/j.cjco.2025.07.005","relation":{},"ISSN":["2589-790X"],"issn-type":[{"value":"2589-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of Non-ST Elevation Myocardial Infarction Patients by Presentation Site: Rural, Urban Community, or Specialized Cardiac Hospital","name":"articletitle","label":"Article Title"},{"value":"CJC Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.cjco.2025.07.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of the Canadian Cardiovascular Society.","name":"copyright","label":"Copyright"}]}}