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In our efforts to improve care of patients with ST-segment-elevation myocardial infarction (STEMI), we have made great strides in reducing door-to-balloon (D2B) times for primary percutaneous coronary intervention (PCI). However, delays in other segments of the time from symptom onset to treatment also deserve our attention. These investigators used registry data from three centers in western Denmark to evaluate the association between outcomes and the time from patients' first contact with the healthcare system to the initiation of reperfusion therapy, considered as part of overall system performance. The study sample included 6209 STEMI patients admitted for primary PCI within 12 hours of symptom onset from January 2002 through December 2…