Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 20810873.
- Also identified by DOI 10.3949/ccjm.77a.10024.
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Abstract
Primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy for ST-elevation myocardial infarction (MI), but most patients do not arrive at a PCI facility within the recommended 90 minutes of first medical contact. If delay is expected, timely thrombolysis is recommended, followed by early transfer for PCI. The authors review the rationale behind three combined reperfusion strategies-facilitated PCI, pharmacoinvasive therapy, and rescue PCI-and data on their effectiveness.