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National STEMI network highlights the issue of missed fibrinolysis gaps, suggesting need for improved pre-hospital triage and adherence to guidelines.
In this national STEMI network, more than half of delayed PPCI in eligible early presenters represented a persistent missed-fibrinolysis gap. Routine audit of delayed PCI and missed fibrinolysis as system-level quality metrics should guide time-based pre-hospital triage and align reperfusion with guideline-recommended targets.
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Desroche et al. (2026) studied this question.
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