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Pre-hospital heparin with thrombolysis
  1. H S Lim1,
  2. T Scott2,
  3. J Glancy2
  1. 1
    University Hospital Birmingham, Edgbaston, Birmingham, UK
  2. 2
    Hereford County Hospital, Hereford, UK
  1. Correspondence to Hoong Sern Lim, University Hospital Birmingham, Edgbaston, Birmingham B15 2TH, UK; h.s.lim{at}bham.ac.uk

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To the editor: We read the MINAP analysis by Horne et al1 with great interest. The authors speculated that the high rates of re-infarction might be related to the administration of the lytic and anti-thrombotic treatment within the pre-hospital environment.

Data from our local audit of pre-hospital tenectaplase …

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