Review: Transfer for primary angioplasty is better than immediate thrombolysis in acute myocardial infarction

Lang, Eddy S.
July 2004
ACP Journal Club;Jul/Aug2004, Vol. 141 Issue 1, p1
Academic Journal
The article presents an overview of acute myocardial infarction. Studies were selected if they were randomized controlled trials (RCTs) (with randomization done at the point of initial contact or at community hospitals) that compared transfer for primary PCI with immediate thrombolysis in patients with acute STEMI and reported data on relevant outcomes. 6 RCTs (3749 patients) met the selection criteria. In patients with acute ST-segment elevation myocardial infarction, transfer to a percutaneous coronary intervention center for primary PCI is more effective than immediate thrombolysis for reducing all-cause mortality, reinfarction, or stroke.


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