Routine early angioplasty after fibrinolysis for acute myocardial infarction.

@article{Cantor2009RoutineEA,
  title={Routine early angioplasty after fibrinolysis for acute myocardial infarction.},
  author={Warren J. Cantor and David H. Fitchett and Bjug Borgundvaag and John Ducas and Michael Heffernan and Eric A Cohen and Laurie J. Morrison and Anatoly Langer and Vladim{\'i}r Dz̆av{\'i}k and Shamir R. Mehta and Charles Lazzam and Brian P Schwartz and Amparo Casanova and Shaun G. Goodman},
  journal={The New England journal of medicine},
  year={2009},
  volume={360 26},
  pages={2705-18}
}
BACKGROUND Patients with a myocardial infarction with ST-segment elevation who present to hospitals that do not have the capability of performing percutaneous coronary intervention (PCI) often cannot undergo timely primary PCI and therefore receive fibrinolysis. The role and optimal timing of routine PCI after fibrinolysis have not been established. METHODS We randomly assigned 1059 high-risk patients who had a myocardial infarction with ST-segment elevation and who were receiving… CONTINUE READING
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We randomly assigned 1059 high - risk patients who had a myocardial infarction with ST - segment elevation and who were receiving fibrinolytic therapy at centers that did not have the capability of performing PCI to either standard treatment ( including rescue PCI , if required , or delayed angiography ) or a strategy of immediate transfer to another hospital and PCI within 6 hours after fibrinolysis .
We randomly assigned 1059 high - risk patients who had a myocardial infarction with ST - segment elevation and who were receiving fibrinolytic therapy at centers that did not have the capability of performing PCI to either standard treatment ( including rescue PCI , if required , or delayed angiography ) or a strategy of immediate transfer to another hospital and PCI within 6 hours after fibrinolysis .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
The primary end point was the composite of death , reinfarction , recurrent ischemia , new or worsening congestive heart failure , or cardiogenic shock within 30 days .
We randomly assigned 1059 high - risk patients who had a myocardial infarction with ST - segment elevation and who were receiving fibrinolytic therapy at centers that did not have the capability of performing PCI to either standard treatment ( including rescue PCI , if required , or delayed angiography ) or a strategy of immediate transfer to another hospital and PCI within 6 hours after fibrinolysis .
We randomly assigned 1059 high - risk patients who had a myocardial infarction with ST - segment elevation and who were receiving fibrinolytic therapy at centers that did not have the capability of performing PCI to either standard treatment ( including rescue PCI , if required , or delayed angiography ) or a strategy of immediate transfer to another hospital and PCI within 6 hours after fibrinolysis .
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