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

David M. Larson | Zendy; Sue Duval | Zendy; Scott W. Sharkey | Zendy; Ross Garberich | Zendy; James D. Madison | Zendy; Peter J. Stokman | Zendy; T. Dirks | Zendy; R. K. Westin | Zendy; James L. Harris | Zendy; Timothy D. Henry | Zendy

Open Access

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

Author(s) -

David M. Larson,

Sue Duval,

Scott W. Sharkey,

Ross Garberich,

James D. Madison,

Peter J. Stokman,

T. Dirks,

R. K. Westin,

James L. Harris,

Timothy D. Henry

Publication year - 2011

Publication title -

european heart journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 4.336

H-Index - 293

eISSN - 1522-9645

pISSN - 0195-668X

DOI - 10.1093/eurheartj/ehr403

Subject(s) - medicine , conventional pci , percutaneous coronary intervention , myocardial infarction , clopidogrel , reperfusion therapy , timi , cardiology , fibrinolysis , aspirin , st elevation , fibrinolytic agent , emergency medicine , tissue plasminogen activator

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, <20% of STEMI patients transferred for PCI in the USA have door-to-balloon times <2 h.

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