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Hong Kong College of Cardiology

2024

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Comparison Of Primary Percutaneous Coronary Intervention (Ppci) Vs. Pharmacoinvasive Strategy As Reperfusion Strategies In Patients With St-Elevation Myocardial Infarction (Stemi), Siu Wai For Jan 2024

Comparison Of Primary Percutaneous Coronary Intervention (Ppci) Vs. Pharmacoinvasive Strategy As Reperfusion Strategies In Patients With St-Elevation Myocardial Infarction (Stemi), Siu Wai For

Journal of the Hong Kong College of Cardiology

Background – Guidelines recommended primary percutaneous coronary intervention (PPCI) as the preferred reperfusion strategy in the treatment of patients with ST-elevation myocardial infarction (STEMI). However, PPCI might not be readily available in the real-world situations due to the limitation of resources. A pharmacoinvasive strategy consisting of early thrombolytic therapy followed by PCI was suggested as an alternative reperfusion approach. Prior studies had shown that clinical outcomes of pharmacoinvasive strategy were comparable to PPCI. The purpose of this retrospective study was to assess the outcomes of reperfusion strategies in patients with STEMI in the North Territories East of Hong Kong, comparing …