Patients with chest pain calling 9-1-1 or self-transporting to reach definitive care: which mode is quicker? Am Heart J. 2004;147:35 41. 69. Ting HH, Krumholz HM, Bradley EH, et al. Implementation and in- tegration of prehospital ECGs into systems of care for acute coronary syndrome: a scientific statement from the American Heart Association Interdisciplinary Council on Quality of Care and Outcomes Research, Emergency Cardiovascular Care Committee, Council on Cardio- vascular Nursing, and Council on Clinical Cardiology. Circulation. 2008;118:1066 79. 70. S rensen JT, Terkelsen CJ, N rgaard BL, et al. Urban and rural implemen- tation of pre-hospital diagnosis and direct referral for primary percutane- ous coronary intervention in patients with acute ST-elevation myocardial infarction. Eur Heart J. 2011;32:430 6. 71. Le May MR, So DY, Dionne R, et al. A citywide protocol for primary PCI in ST-segment elevation myocardial infarction. N Engl J Med. 2008;358:231 40. 72. Rokos IC, French WJ, Koenig WJ, et al. Integration of pre-hospital elec- trocardiograms and ST-elevation myocardial infarction receiving center (SRC) networks: impact on door-to-balloon times across 10 independent regions. JACC Cardiovasc Interv. 2009;2:339 46. 73. Faxon D, Lenfant C. Timing is everything: motivating patients to call 9-1- 1 at onset of acute myocardial infarction. Circulation. 2001;104:1210 1. 74. National Institutes of Health, US Department of Health and Human Ser- vices.Act in Time. National Heart, Lung, and Blood Institute.Available at: http://health.nih.gov/topic/HeartAttack/. Accessed July 26, 2012. 75. McDermott MM, Mandapat AL, Moates A, et al. Knowledge and attitudes regarding cardiovascular disease risk and prevention in patients with coro- nary or peripheral arterial disease. Arch Intern Med. 2003;163:2157 62. 76. Aguirre FV, Varghese JJ, Kelley MP, et al. Rural interhospital trans- fer of ST-elevation myocardial infarction patients for percutane- ous coronary revascularization: the Stat Heart Program. Circulation. 2008;117:1145 52. 77. 