GP-delivered ACS therapy could close rural/urban gap

A review of 149 papers showed Australian ACS patients have limited access to timely percutaneous coronary intervention and drug therapy is suboptimal.

Researchers from the University of Notre Dame Australia said death rates from coronary heart disease were 10–15% higher in regional compared to urban areas.

Studies showed timeliness not modality of reperfusion was crucial and thrombolysis by GP-led emergency departments had similar outcomes to specialist services.

Australas Med J 2014; 7:149-56