Mechanical reperfusion by primary percutaneous coronary intervention is superior to fibrinolytic therapy for ST elevation myocardial infarction when delivered timely by an experienced team.
This review reinforces that primary percutaneous coronary intervention is the superior reperfusion strategy for STEMI when delivered in a timely manner by an experienced team.
ST segment elevation myocardial infarction remains a significant contributor to morbidity and mortality worldwide, despite a declining incidence and better survival rates. It usually results from thrombotic occlusion of a coronary artery at the site of a ruptured or eroded plaque. Diagnosis is based on characteristic symptoms and electrocardiogram changes, and confirmed subsequently by raised cardiac enzymes. Prognosis is dependent on the size of the infarct, presence of collaterals and speed with which the occluded artery is reopened. Mechanical reperfusion by primary percutaneous coronary intervention is superior to fibrinolytic therapy if delivered by an experienced team in a timely fashion. Post-reperfusion care includes monitoring for complications, evaluation of left ventricular function, secondary preventive therapy and cardiac rehabilitation.
Choudhury et al. (Wed,) conducted a review in ST elevation myocardial infarction. Primary percutaneous coronary intervention vs. Fibrinolytic therapy was evaluated. Mechanical reperfusion by primary percutaneous coronary intervention is superior to fibrinolytic therapy for ST elevation myocardial infarction when delivered timely by an experienced team.
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