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Acute reperfusion strategies for ST-segment elevation myocardial infarction
Regional Medical Cardiology Centre, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK
* Corresponding author. Tel: +44 289 089 4975, Fax: +44 289 031 2907, Email: jennifer.adgey@royalhospitals.n-i.nhs.uk
This editorial refers to Trends in acute reperfusion therapy for ST-segment elevation myocardial infarction from 1999 to 2006: we are getting better but we have got a long way to go by K.A. Eagle et al.,
on page 609
Footnotes
The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.
| The first 10% of the full text of this article appears below. |
The overall aim of reperfusion therapy for patients presenting with an ST-segment elevation myocardial infarction (STEMI) is to restore normal blood flow in the infarct-related artery as rapidly and completely as possible, and thus myocardial perfusion. This can be achieved by the administration of thrombolytic therapy (either pre-hospital or in hospital) or by primary percutaneous coronary intervention (PPCI). Guidelines suggest that thrombolytic therapy should be administered within a door to needle time (or medical contact to needle time) of <30 min and a door to balloon time of <90 min for PPCI.1
Eagle et al.2
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EHJ 2008 29: 609-617.[Abstract] [Full Text]