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

Bates, Eric R.
March 2004
ACP Journal Club;Mar/Apr2004, Vol. 140 Issue 2, p29
Academic Journal
Primary Percutaneous Coronary Intervention (PCI) advantages over fibrinolytic therapy when done promptly in excellent PCI centers. However, the conclusion from Danish trials in Acute Myocardial Infraction-2 that hospitals without PCI capability must withhold fibrinolytic therapy and transfer patients for primary PCI because of the reduction in the composite endpoint of death, reinfarction, or disabling stroke compared with on-site fibrinolytic therapy deserves further scrutiny because of study design capability.


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