Pre-hospital reduced-dose fibrinolysis coupled with urgent percutaneous coronary intervention reduces time to reperfusion and improves angiographic perfusion score compared with prehospital fibrinolysis alone or primary percutaneous coronary intervention: results of the PATCAR Pilot Trial.

Richard W. Smalling,Gregory M. Giesler,Vinay R. Julapalli,Ali E. Denktas,Stefano Sdringola,Mary Vooletich,James J. McCarthy,Richard N Bradley,David Persse,Bonnie K. Richter,Masahiro Yagi,Kenichi Fujise,H. Vernon Anderson

Pre-hospital reduced-dose fibrinolysis coupled with urgent percutaneous coronary intervention reduces time to reperfusion and improves angiographic perfusion score compared with prehospital fibrinolysis alone or primary percutaneous coronary intervention: results of the PATCAR Pilot Trial.

2007

Richard W. Smalling
Gregory M. Giesler
Vinay R. Julapalli
Ali E. Denktas
Stefano Sdringola
Mary Vooletich
James J. McCarthy
Richard N Bradley
David Persse
Bonnie K. Richter
Masahiro Yagi
Kenichi Fujise
H. Vernon Anderson

To the Editor: In over 27,000 patients treated for ST-segment elevation myocardial infarction (STEMI) with primary percutaneous coronary intervention (PCI) in the U.S., the average time from symptom onset to PCI (ischemic time) was 5.5 h ([1][1]), which is well beyond the 2-h goal for optimal

Keywords:

Elevation
Cardiology
Percutaneous coronary intervention
Fibrinolysis
Internal medicine
Myocardial infarction
Perfusion
Medicine
Diabetes mellitus
pilot trial
reduced dose
Conventional PCI

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