Fibrinolysis or Primary PCI in ST-Segment Elevation Myocardial Infarction

2013771 citationsJournal Articlebronze Open Access

Authors

Paul W. Armstrong · University of Alberta

Anthony Gershlick · National Institute for Health Research

Patrick Goldstein

Robert Wilcox · University of Nottingham

Thierry Danays · Boehringer Ingelheim (Egypt)

Yves Lambert · Centre Hospitalier de Versailles

V. A. Sulimov · Sechenov University

Abstract

Prehospital fibrinolysis with timely coronary angiography resulted in effective reperfusion in patients with early STEMI who could not undergo primary PCI within 1 hour after the first medical contact. However, fibrinolysis was associated with a slightly increased risk of intracranial bleeding. (Funded by Boehringer Ingelheim; ClinicalTrials.gov number, NCT00623623.).

Topics & Keywords

Acute Myocardial Infarction Research Venous Thromboembolism Diagnosis and Management Cardiac Imaging and Diagnostics

UN Sustainable Development Goals

Good health and well-being

Publication Details

Published in: New England Journal of Medicine

Volume 368, Issue 15, pp. 1379-1387

DOI: 10.1056/nejmoa1301092

Field-Weighted Citation Impact: 54.63