64th ANNUAL CONFERENCE CARDIOLOGICAL SOCIETY OF INDIA & SAARC CARDIAC CONGRESS

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چکیده

In management of STEMI, time to treatment is critical. PCI is always better than thrombolytic therapy. According to ACC/AHA guidelines, door to balloon time for PCI should be less than 120 minutes. However, according to data from MITI trial if the patient is seen within 70 minutes of onset of symptoms, prehospital fibrinolytic therapy is very useful and is associated with better outcomes. Even if the patient is seen within 120 minutes, fibrinolytic should be given before transferring the patient to a PCI centre. If the patient is seen later than 120 minutes he should be loaded with clopidogrel and transferred for primary PCI. Dr Bernard Gersh

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تاریخ انتشار 2012