This first Finnish STEMI guideline is based on scientific evidence and expert opinion. The guideline emphasises the concept of “STEMI centres”. The primary mode of revascularisation should be percutaneous coronary intervention in a large-volume centre within 120 min of the diagnosis. If this is not available, a prehospital fibrinolysis should be performed. Given the huge differences in the distances between and organisation of emergency services in Finland, locally adapted guidelines are required to ensure the timely treatment of STEMI patients.
Ilkka Tierala (Chair)