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Summary of recommendations on percutaneous coronary intervention for the reperfusion of acute ST elevation myocardial infarction
  1. G Montalescot1,
  2. H R Andersen2,
  3. D Antoniucci3,
  4. A Betriu4,
  5. M J de Boer5,
  6. L Grip6,
  7. F J Neumann7,
  8. M T Rothman8
  1. 1Centre Hospitalier Universitaire Pitié-Salpétrière, Paris, France
  2. 2Skejby University Hospital, Aarhus, Denmark
  3. 3Ospedale Careggi, Firenze, Italy
  4. 4Hospital Clinico, Barcelona, Spain
  5. 5Isala Klinieken, Zwolle, The Netherlands
  6. 6Sahlgrenska University Hospital, Göteborg, Sweden
  7. 7Herzzentrum Bad Krozingen, Bad Krozingen, Germany
  8. 8The London Chest Hospital, London, UK
  1. Correspondence to:
    Dr G Montalescot
    Institut de Cardiologie, Bureau 2-236, Centre Hospitalier Universitaire Pitié-Salpétrière, 47 Bl de l’Hôpital, 75013 Paris, France;

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Since primary percutaneous coronary intervention (PCI) is the mainstay of reperfusion in acute myocardial infarction (AMI), and because AMI represents the most urgent situation for PCI, recommendations based on scientific evidence and expert experience would be useful for centres practising primary PCI or those looking to set up a primary PCI programme. With this in mind, a group of eight European interventional cardiologists (all based at high volume centres) formed an expert consensus to provide recommendations on this subject.

The recommendations are intended for specialists who possess the necessary knowledge, experience, and skills to perform PCI, and who work in environments with appropriate resources and facilities.


When performed by experienced operators, we strongly recommend PCI as the reperfusion strategy of choice for patients with AMI. When thrombolysis is contraindicated or has failed, or when patients are in cardiogenic shock, rapid transfer to a secondary unit should be ensured. Studies have shown that, where facilities are available, most AMI patients are candidates for PCI,1 and that PCI is effective in re-establishing coronary artery perfusion and in providing a good outcome in both the short and long term.2

We strongly recommend that PCI for AMI is performed swiftly, with a door-to-balloon …

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