Andersson HB, et al. - In a real-world setting, researchers assessed pre-hospital transport times and clinical outcomes following different reperfusion strategies for ST-elevation myocardial infarction (STEMI). Participants included 27,205 consecutively enrolled patients undergoing percutaneous coronary intervention (PCI) for STEMI in Michigan from 2010-2016; of these patients, 95% underwent primary PCI and 5% were treated with a pharmacoinvasive strategy. The choice of reperfusion strategy was predicted by the estimated pre-hospital transport time. Findings revealed that, in Michigan, timely access to a hospital with PCI-capability was provided to almost all patients, and these patients received treatment with primary PCI.