EDUCATION IN HEART
Coronary disease
RESCUE PERCUTANEOUS CORONARY INTERVENTION: DOES THE CONCEPT MAKE SENSE?
Correspondence to:
Correspondence to:
Professor Eric Eeckhout
Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland; eric.eeckhout@chuv.ch
| The first 150 words of the full text of this article appear below. |
Rescue percutaneous coronary intervention (PCI) for ST elevation myocardial infarction (STEMI) is defined as mechanical reperfusion for failed fibrinolysis. The efficacy of rescue PCI has always been debated. Despite a high level of immediate technical success and the positive impact on ventricular function, conflicting data on mortality have been reported. Several historical explanations may be given. Initially, rescue PCI was associated with a high reocclusion rate and increased mortality if unsuccessful. Contrary to fibrinolysis, the rare randomised trials on rescue PCI are characterised by small study populations and major differences in methodology. In particular, there is no consensus on timing and defining failed fibrinolysis. During the last few years two randomised trials, both from the UK, have been published, providing new insights into this old problem. It is now apparent that rescue PCI is superior to conservative management or pharmacotherapy. Efforts should be made to implement this treatment
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Articles
-
WEB TOP 10
Heart 2007 93: 791.[Extract] [Full Text] [PDF]
- MANAGEMENT OF END STAGE HEART FAILURE
- Erik B Friedrich and Michael Böhm
Heart 2007 93: 626-631.[Extract] [Full Text] [PDF]
This article has been cited by other articles:
-
Ndrepepa, G., Schomig, A., Kastrati, A.
(2009). The Only Better Alternative to Rescue Percutaneous Coronary Intervention Is Primary Percutaneous Coronary Intervention.. J Am Coll Cardiol
54: 127-129
[Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
BMJ Learning
Topic Collections
-
Interventional cardiology
-
Drugs: cardiovascular system
-
Acute coronary syndromes
-
Clinical diagnostic tests
-
Epidemiology
- Relevant Articles
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
