Why the study?
Management of patients presenting with late STEMI (>12 hours) remains controversial.
Does PCI in patients presenting with late STEMI (>12 hours) yield similar outcomes compared to early STEMI?
Does PCI in patients presenting with late STEMI (>12 hours) yield similar outcomes compared to early STEMI?
PCI may be a viable strategy for patients presenting with late STEMI (>12 hours), as outcomes were similar to early presenters despite higher baseline risk.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for PCI in late STEMI; prospective randomized trials needed before clinical adoption.
Key Points Management of patients presenting with late STEMI (>12 hours) remains controversial. In this study, outcomes of early and late STEMI were similar despite more critical cardiovascular risk profiles among late presenters, potentially supporting a strategy of PCI in late STEMI presenters. An algorithm for the management of late STEMI is presented
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Davis et al. (2023) studied this question.
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