Review

Nature Clinical Practice Cardiovascular Medicine (2005) 2, 22-28
doi:10.1038/ncpcardio0065  
Received 16 July 2004 | Accepted 16 November 2004

Early reperfusion strategies after acute ST-segment elevation myocardial infarction: the importance of timing

David P Faxon

Correspondence  Section of Cardiology, University of Chicago, 5841 South Maryland Avenue, MC 6080, Chicago, IL 60637, USA

Email
 dfaxon@medicine.bsd.uchicago.edu

Many patients who die from coronary heart disease have ST-segment-elevation myocardial infarction. The optimum timing and method of reperfusion therapy, however, still need clarification. This review discusses the use of fibrinolytic drugs and primary coronary angioplasty and how to achieve the goals of door-to-balloon or door-to-needle times purported in the AHA/ACC guidelines.

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