A New Strategy in Acute Myocardial Infarction

(Thirty-four patients with acute myocardial infarction were treated prospectively using a new strategy prehospital intravenous streptokinase given by a physician-operated mobile intensive care unit. The 29 prehospital-treated patients who had experienced no previous myocardial infarction were compared to a similar group treated with streptokinase inhospital. Patients receiving streptokinase in the prehospital phase of acute myocardial infarction had 1�noxic myocardial damage is a time-dependent process, starting immediately after the initial coronary artery obstruction, and progressing as a wave front from endocardium to epicardium. Necrosis is often