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European Heart Journal Advance Access originally published online on August 15, 2005
European Heart Journal 2005 26(19):1937-1938; doi:10.1093/eurheartj/ehi462
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Moving proximally through the intersection between the process and the content of care in ST-elevation myocardial infarction

Paul W. Armstrong*

2-51 Medical Sciences Building, University of Alberta, Edmonton, Alberta, Canada T6G 2H7

* Corresponding author. Tel: +1 780 492 0591; fax: +1 780 492 9486. E-mail address: paul.armstrong@ualberta.ca

This editorial refers to ‘Comparison of pre-hospital combination-fibrinolysis plus conventional care with pre-hospital combination-fibrinolysis plus facilitated percutaneous coronary intervention in acute myocardial infarction’{dagger} by H. Thiele et al., on page 1956

The first 10% of the full text of this article appears below.

‘A physician can sometimes parry the scythe of death, but has no power over the sand in the hourglass.’ HL Piozzi (1781)

Enhancing the care of patients with ST-elevation myocardial infarction continues to be a principal focus of the international cardiological community.1 Although STEMI patients represent a minority of myocardial infarctions and only a modest proportion of overall deaths attributable to AMI, they constitute a rallying point for energizing major advances in both the process and the content of contemporary AMI care.2 Controversy concerning reperfusion therapeutic strategies has revolved around the relative attributes of pharmacological vs. mechanical coronary interventions.3,4 Hence, a potentially attractive compromise would be to marry . . . [Full Text of this Article]


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Related articles in EHJ:

Comparison of pre-hospital combination-fibrinolysis plus conventional care with pre-hospital combination-fibrinolysis plus facilitated percutaneous coronary intervention in acute myocardial infarction
Holger Thiele, Lothar Engelmann, Kathleen Elsner, Mathias J. Kappl, Wulf-Hinrich Storch, Kazem Rahimi, Andreas Hartmann, Dietrich Pfeiffer, Georg D. Kneissl, Dieter Schneider, Thomas Möller, Hans J. Heberling, Ina Weise, Gerhard Schuler, and for the Leipzig Prehospital Fibrinolysis Group
EHJ 2005 26: 1956-1963. [Abstract] [Full Text]