Thrombolysis or transport to angioplasty in acute MI?

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  • Inpharma 1243 - 24 Jun 20001. Widimsky P, et al. Multicentre randomized trial comparing transport to primaryThrombolysis or transport to angioplasty vs immediate thrombolysis vs combined strategy for patients with

    acute myocardial infarction presenting to a community hospital without aangioplasty in acute MI?catheterization laboratory. European Heart Journal 21: 823-831, May 2000.

    2. Van de Werf F. Should we transfer patients with acute myocardial infarction toImmediately transporting patients with acute a tertiary care hospital for primary angioplasty? European Heart Journal 21:

    792-793, May 2000.myocardial infarction (MI) who present to a hospital800763702without a catheterisation laboratory to another hospital

    where percutaneous transluminal coronary angioplasty(PTCA) can be performed results in lower rates of death,reinfarction or stroke than treating patients withthrombolysis, say the PRAGUE Study GroupInvestigators.1

    The multicentre study involved 300 patients withacute MI and ST elevations or bundle branch block whopresented to community hospitals withoutcatheterisation laboratories within 6 hours of symptomonset and for whom it was feasible to begin transport toa PTCA centre (within a distance which would require


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