Does prehospital fibrinolysis with timely coronary angiography improve effective reperfusion compared to primary PCI in patients with early STEMI who could not undergo primary PCI within 1 hour after the first medical contact?
Prehospital fibrinolysis with timely coronary angiography is an effective reperfusion strategy for early STEMI patients unable to receive primary PCI within 1 hour, despite a slightly increased risk of intracranial bleeding.
Prehospital fibrinolysis with timely coronary angiography resulted in effective reperfusion in patients with early STEMI who could not undergo primary PCI within 1 hour after the first medical contact. However, fibrinolysis was associated with a slightly increased risk of intracranial bleeding. (Funded by Boehringer Ingelheim; ClinicalTrials.gov number, NCT00623623.).
Armstrong et al. (Sun,) studied this question.
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