Safety and efficacy of a pharmaco-invasive reperfusion strategy in rural ST-elevation myocardial infarction patients with expected delays due to long-distance transfers

To determine the safety and efficacy of a pharmaco-invasive reperfusion strategy utilizing half-dose fibrinolysis combined with transfer for immediate percutaneous coronary intervention (PCI) in ST-elevation myocardial infarction (STEMI) patients presenting to remote rural hospitals. Primary PCI is...

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Veröffentlicht in:	European heart journal 2012-05, Vol.33 (10), p.1232-1240
Hauptverfasser:	LARSON, David M, DUVAL, Sue, SHARKEY, Scott W, GARBERICH, Ross F, MADISON, James D, STOKMAN, Peter J, DIRKS, Timothy G, WESTIN, Robert K, HARRIS, James L, HENRY, Timothy D
Format:	Artikel
Sprache:	eng
Schlagworte:	Adrenergic beta-Antagonists - therapeutic use Aged Angioplasty, Balloon, Coronary - methods Aspirin - therapeutic use Biological and medical sciences Cardiology. Vascular system Coronary heart disease Emergency Treatment Female Fibrinolytic Agents - therapeutic use Heart Humans Male Medical sciences Middle Aged Myocardial Infarction - therapy Myocardial Reperfusion - methods Myocarditis. Cardiomyopathies Patient Transfer Platelet Aggregation Inhibitors - therapeutic use Prospective Studies Recurrence Rural Health Ticlopidine - analogs & derivatives Ticlopidine - therapeutic use Tissue Plasminogen Activator - therapeutic use Treatment Outcome
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Beschreibung
Zusammenfassung:	To determine the safety and efficacy of a pharmaco-invasive reperfusion strategy utilizing half-dose fibrinolysis combined with transfer for immediate percutaneous coronary intervention (PCI) in ST-elevation myocardial infarction (STEMI) patients presenting to remote rural hospitals. Primary PCI is preferred for STEMI if performed in a timely manner. However,
ISSN:	0195-668X 1522-9645
DOI:	10.1093/eurheartj/ehr403