Editorial
The patient with acute myocardial infarction who does not receive reperfusion treatment
| The first 150 words of the full text of this article appear below. |
Acute myocardial infarction is still the most common cause of death in most western industrialised countries. Thrombolysis as well as primary angioplasty have been proven to be effective treatments for acute myocardial infarction, resulting in a significant reduction in mortality.1-6 Based on the findings of large randomised trials, the current guidelines of the American College of Cardiology and the American Heart Association7 therefore recommend the use of thrombolytic treatment in patients with acute myocardial infarction who present to the hospital within 12 hours of symptom onset, regardless of age and sex. For patients with contraindications to thrombolytic treatment or who are at increased risk of bleeding, primary angioplasty is recommended.
Despite these evident beneficial effects of early
reperfusion treatment and the strong recommendations for its use,
prospective observational studies have shown that only a minority of
patients with acute myocardial infarction receive any reperfusion
treatment.8 9 Rogers and colleagues9
reported a reperfusion
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