Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role

Elias B Hanna; Thomas A Hennebry; Mazen S Abu-Fadel

doi:10.3949/ccjm.77a.10024

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Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role

Journal article

Open access

Peer reviewed

Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role

Elias B Hanna, Thomas A Hennebry and Mazen S Abu-Fadel

Cleveland Clinic journal of medicine, Vol.77(9), pp.629-638

09/2010

DOI: 10.3949/ccjm.77a.10024

PMID: 20810873

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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.

Angioplasty, Balloon, Coronary

Combined Modality Therapy

Electrocardiography

Emergency Treatment

Humans

Myocardial Infarction - mortality

Myocardial Infarction - therapy

Myocardial Reperfusion - methods

Patient Transfer

Randomized Controlled Trials as Topic

Shock, Cardiogenic - therapy

Survival Rate

Thrombolytic Therapy

Time Factors

Treatment Outcome

Details

Title: Subtitle: Combined reperfusion strategies in ST-segment elevation MI: Rationale and current role
Creators: Elias B Hanna - University of Oklahoma Health Sciences Center
Thomas A Hennebry - University of Oklahoma Health Sciences Center
Mazen S Abu-Fadel - University of Oklahoma Health Sciences Center
Resource Type: Journal article
Publication Details: Cleveland Clinic journal of medicine, Vol.77(9), pp.629-638
DOI: 10.3949/ccjm.77a.10024
PMID: 20810873
ISSN: 0891-1150
eISSN: 1939-2869
Language: English
Date published: 09/2010
Academic Unit: Cardiovascular Medicine; Internal Medicine
Record Identifier: 9984359677602771

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