TEMPORAL TRENDS IN CARE AND OUTCOMES OF PATIENTS RECEIVING FIBRINOLYTIC THERAPY COMPARED TO PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN THE GET WITH THE GUIDELINES CORONARY ARTERY DISEASE (GWTG-CAD) REGISTRY

Timely reperfusion after STEMI improves survival. Guidelines recommend primary percutaneous coronary intervention (PPCI) within 90 min of presentation to a PCI capable hospital. The alternative is fibrinolytic therapy within 30 min of presentation. We identified STEMI patients receiving