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The median delay between arrival at a percutaneous cardiovascular intervention (PCI) centre and primary PCI was 40 min (interquartile range 20\u201374) with 65.8% receiving PCI within guideline recommendation of 60 min. A third of patients (33.2%) required transfer from their initial hospital to one that could perform emergency PCI for whom only 27.2% were treated within the quality indicator recommendation of 120 min. Radial access was used in 56.6% of all primary PCI, but with large geographic variation, from 76.4 to 9.1%. Statins were prescribed at discharge to 98.7% of patients, with little geographic variation. Of patients with a history of heart failure or a documented left ventricular ejection fraction \u226440%, 84.0% were discharged on an angiotensin-converting enzyme inhibitor\/angiotensin receptor blocker and 88.7% were discharged on beta-blockers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Care for STEMI shows wide geographic variation in the receipt of timely primary PCI, and is in contrast with the more uniform delivery of guideline-recommended pharmacotherapies at time of hospital discharge.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjacc\/zuac143","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T12:33:47Z","timestamp":1667910827000},"page":"22-37","source":"Crossref","is-referenced-by-count":14,"title":["Care of patients with ST-elevation myocardial infarction: an international analysis of quality indicators in the acute 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