Editorial

Nature Clinical Practice Cardiovascular Medicine (2005) 2, 607
doi:10.1038/ncpcardio0383  

The timing of reperfusion therapy

Bernard J Gersh

This article has no abstract so we have provided the first paragraph of the full text.

A fundamental tenet of reperfusion therapy is that 'time is muscle', since ischemia leading to necrosis is progressive. Regardless of whether treatment is pharmacologic or primary percutaneous coronary intervention (PCI), evidence is accumulating that delays at each stage in the process are associated with adverse outcomes. Indeed, the ability to deliver therapy expeditiously is generally accepted as a surrogate for quality of care.

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