Thrombolytic therapy for acute ST-segment elevation myocardial infarction: should it be given to all patients prior to urgent PCI?

摘要

Anyone who has treated a patient with ST-segment elevation myocardial infarction (STEMI) with thrombolytic therapy or urgent percutaneous coronary intervention (PCI) knows that not all patients respond the way we would like them to respond. Ideally, the ST-segment elevation should return to baseline, and the patient should become pain-free. When this happens, we congratulate ourselves because we have limited the infarction size and preserved viable myocardium. Unfortunately, this does not happen in every case. The question is why does it not happen in every case3