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Myocardial salvage (MS) can be assessed retrospectively by T2-weighted and delayed enhancement images as shown in animal studies. Currently there is limited data in humans and this technique has not been used for the assessment in multicenter trials comparing different reperfusion regimens in STEMI. Facilitated PCI with fibrinolysis did not show a benefit in comparison to primary PCI in recently published trials. However, a subgroup of high-risk STEMI patients presenting early after symptom onset, treated with optimal antiplatelet co-medication, and with long transfer times might benefit from a fibrinolytic-based facilitated PCI.

journal of cardiovascular magnetic resonance

Myocardial salvage and infarct size in acute myocardial infarction assessed by magnetic resonance imaging - Influences by prehospital initiated facilitated PCI versus primary PCI in early infarct presenters