Sir Winston Churchill once said, "It's not enough that we doour best; sometimes we have to do what is required." Such asentiment underlies the premise of facilitated percutaneouscoronary intervention (PCI), a therapeutic strategy of pharmacologicthrombolysis before mechanical intervention for the treatmentof ST-segment elevation myocardial infarction. Despite our bestefforts to provide timely primary PCI to improve myocardialsalvage, patient-related delays to presentation, the necessityfor transfer of the patient to a facility capable of performingPCI, and presentation of the patient to the hospital duringoff-hours may all conspire to extend the time from the . . . [Full Text of this Article]
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From the Cardiovascular Medicine Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston.
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