Acute Coronary Syndrome

Early Prehospital Fibrinolysis an Equal to Primary PCI? by Muhammad Amir Ayub

Our analysis suggests that prehospital FL is associated with similar early and late mortality rates compared with PPCI in patients with STEMI managed early after symptom onset in the prehospital setting. Prehospital FL was associated with a decreased risk of cardiogenic shock but an increased risk of stroke. Prehospital FL appears to be a valuable alternative to PPCI. Pharmacoinvasive strategies including prehospital FL and transfer to hub PCI centers may allow reduction of the cost allocated to developing proximity centers with 24/7 PCI facilities while providing similarly efficient reperfusion therapy.

Encouraging results for the majority of centers without early PCI options to treat ACS patients. Different complications but same life or death outcomes. 

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