We describe the setting up of a 'heart emergency centre' linked to a pre-existing coronary care unit. The 'heart emergency centre' offers a new and efficient way of providing a fast and effective system for the assessment and management of patients with cardiac emergencies. This set-up can result in significant improvements in 'door to needle' time for thrombolysis, which has been shown to be beneficial both in terms of morbidity and mortality following myocardial infarction.
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