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Volume 361:1507-1510 October 8, 2009 Number 15
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Routine Early Angioplasty after Fibrinolysis

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 by Verheugt, F. W.A.
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 by Cantor, W. J.
-PubMed Citation
To the Editor: Cantor et al. (June 25 issue)1 conclude that among high-risk patients with ST-segment elevation myocardial infarction who receive fibrinolysis, prompt interhospital transfer for early percutaneous coronary intervention (PCI) after fibrinolysis is associated with significantly fewer ischemic complications than is standard treatment. Fundamental to this study's findings are the criteria for identifying the high-risk patients who are likely to benefit from routine early angioplasty after fibrinolysis. Given that the proposed benefit of this strategy is to reduce reocclusion and reinfarction after successful fibrinolysis, as well as to expedite rescue PCI when fibrinolysis fails, the benefits of early angioplasty . . . [Full Text of this Article]




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