RT Journal Article
SR Electronic
T1 Where does the Occluded Artery Trial leave the late open artery hypothesis?
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 1319
OP 1321
DO 10.1136/hrt.2007.123489
VO 93
IS 11
A1 Gervasio A Lamas
A1 Judith S Hochman
YR 2007
UL http://heart.bmj.com/content/93/11/1319.abstract
AB As of April 2007 the early open artery hypothesis is alive and well, but the late open artery hypothesis is adrift. For the foreseeable future, stable patients with persistent occlusion of the infarct artery late after myocardial infarction, and without severe ischaemia or uncontrollable angina, should be managed initially with optimal medical treatment alone, and not with percutaneous coronary intervention. Efforts should focus on establishing reperfusion earlier, including reducing the time to patient presentation.