Why the study?
Does rescue PCI improve event-free survival compared to repeated thrombolysis or conservative treatment in patients with STEMI and failed reperfusion after thrombolytic therapy?
Population
427 patients with ST-segment elevation myocardial infarction in whom reperfusion failed to occur within 90…
Comparison
Rescue percutaneous coronary intervention (PCI) vs Repeated thrombolysis or conservative treatment
Design
RCT, randomly assigned
Follow-up
six months
Authors
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Rescue PCI should be prioritized after failed thrombolysis in STEMI; confirms mechanical reperfusion superiority in reducing events versus repeat thrombolysis or conservative care.
Does rescue PCI improve event-free survival compared to repeated thrombolysis or conservative treatment in patients with STEMI and failed reperfusion after thrombolytic therapy?
Rescue PCI significantly improves event-free survival at six months compared to repeated thrombolysis or conservative treatment in patients with STEMI and failed initial thrombolysis.
Gershlick et al. (2005) studied this question.
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