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Previous Volume 349:798-800 August 21, 2003 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Nearly two decades after clinical trials established that fibrinolytic therapy for acute myocardial infarction preserves left ventricular function and reduces mortality, there is evidence that mechanical reperfusion therapy is superior in reducing the rates of death, reinfarction, intracranial bleeding, reocclusion of the infarct-related artery, and recurrent ischemia. Initially introduced as an alternative to fibrinolytic therapy (to circumvent contraindications to its use and the risk of intracranial bleeding), primary percutaneous coronary intervention is now increasingly recognized as the reperfusion therapy of choice. The ability to restore robust coronary flow promptly in more than 90 percent of patients and the nearly linear . . . [Full Text of this Article]

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From the Cardiology Section, Department of Medicine, Boston University Medical Center, Boston.

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