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Search for: [Abstract = "and when he or she was referred to hospital was 59 \(50\-72\) minutes A significant correlation was noted between an increase of first medical contact \(FMC\) time to hospital arrival and in\-hospital mortality with a odds ratio \(OR\) of 1,022 for every minute of time delay \(95% CI\: 1,002\-1,04\). However it became statistically insignificant in multivariable regression. The median \(IQR\) FMC\-to\-PCI time was 87 \(74\-103\) minutes. The European Society of Cardiology time recommendations on FMC\-to\-PCI time ≤90 minutes were met in 55,6% patients. Nonetheless only in 6,8% patients with symptom\-onset time <2h where FMC\-to\-PCI time should not exceed 60 minutes. Among pre\-hospital procedures the anti\-platelet and anticoagulant therapy was associated with in\-hospital mortality. The use of clopidogrel or heparin or both reduced in\-hospital mortality rate \(OR=0,32\; 95% CI\: 0,13\-0,78\). Clopidogrel aministration was associated with decreased risk of left ventricular ejection fraction \(LVEF\) measured before discharge \(OR=0,27\; 95% CI\: 0,09\-0,90\). None of pre\-hospital procedures was associated with mortality rate after discharge. The ECG teletransmission did not correlate in any way with reduction of time delays and did not affect LVEF nor mortality rate.Conclusions\: Emergency medical service teams plays a significant role in treatment of STEMI patients. Prolonged pre\-hospital management is associated"]

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