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Correspondence
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Volume 356:1588-1590 April 12, 2007 Number 15
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Primary Percutaneous Coronary Intervention

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by Keeley, E. C.
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To the Editor: In their review of primary percutaneous coronary intervention (PCI) for myocardial infarction with ST-segment elevation, Keeley and Hillis (Jan. 4 issue)1 cite the guidelines of the American College of Cardiology and American Heart Association (ACC–AHA): "Primary PCI is preferred if a . . . catheterization laboratory with surgical backup [is] available and if the procedure can be performed within 90 minutes after initial medical contact. . . ."2 Nationally, for 55% of patients who have myocardial infarction with ST-segment elevation, the door-to-balloon time is less than 90 minutes.3 Between January 2006 and July 2006, the hospital with the highest percentage of patients . . . [Full Text of this Article]



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