Letter to Editor: Two-year results of primary coronary intervention performed in a mediumscale primary percutaneous coronary intervention center by two cardiologists who are not formally trained in interventional cardiology

Primary percutaneous coronary intervention (PCI) is the preferred option when it can be performed in less than 90 min after the first medical contact, especially in patients with high-risk features such as cardiogenic shock or hemodynamically significant fatal ventricular arrhythmia in AMI (1). Current recommendations indicate that elective percutaneous transluminal coronary angioplasty (PTCA) be performed by operators with an annual volume of at least 75 procedures in institutions with annual volumes over 400. Furthermore, primary PTCA for AMI should be performed by operators who perform more than 75 elective PTCA procedures per year and at least 11 PTCA procedures for AMI in a year.