Angioplasty at an invasive-treatment center reduced mortality compared with first-contact thrombolysis

March 2004
ACP Journal Club;Mar/Apr2004, Vol. 140 Issue 2, p29
Academic Journal
The article analyses the effectiveness of the transfer of patients with ST-segment elevation myocardial infarction (STEMI) to an invasive-treatment center (ITC) for primary angioplasty (PCI) over on-site fibrinolysis for reducing all-cause mortality, reinfarction, or stroke. Patients were stratified by hospital and allocated to PCI or fibrinolysis. The transfer of patients who have had myocardial infarction with ST-segment elevation to an invasive-treatment center for primary percutaneous coronary intervention was more effective than on-site fibrinolysis for reducing all-cause mortality, reinfarction, or stroke.


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