Lower mortality rates seen with pharmaco-invasive strategy than late primary PCI in STEMI patients
Australia: A recent study has shown that for STEMI patients who cannot undergo timely primary percutaneous coronary intervention (pPCI), a pharmco-invasive approach should be considered as it achieves better outcomes than late primary PCI.
The study featured in the European Heart Journal found that patients who underwent late pPCI (>120 min from first medical contact) had higher mortality rates than those undergoing a pharmaco-invasive strategy. Also, long-term bleeding, myocardial infarction, and stroke rates were comparable among the groups.
Pharmaco-invasive PCI (PI-PCI) is recommended for ST-elevation myocardial infarction (STEMI) patients who cannot undergo primary PCI. John Kerswell French, School of Medicine, Western Sydney University, Gilchrist Drive, Sydney, Australia, and colleagues examined late outcomes after PI-PCI (successful reperfusion followed by scheduled PCI or failed reperfusion and rescue PCI) versus timely and late pPCI.
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