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Drs Townend and Routledge1 make the point that a blocked coronary artery needs to have been re-opened before it can re-occlude, and that the excess re-infarction rate seen with prehospital thrombolytic treatment is simply a marker of more effective (and earlier) restoration of patency. There are data in our study2 that …
Competing interests None.
Provenance and Peer review Not commissioned; not externally peer reviewed.