RT Journal Article
SR Electronic
T1 Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 629
OP 638
DO 10.3949/ccjm.77a.10024
VO 77
IS 9
A1 Hanna, Elias B.
A1 Hennebry, Thomas A.
A1 Abu-Fadel, Mazen S.
YR 2010
UL http://www.ccjm.org/content/77/9/629.abstract
AB 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.