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Source: International Journal of Cardiology
Therapy: Alternative and Complementary Therapies

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Simplifying electrocardiographic assessment in STEMI reperfusion management: Pros and Cons
Current guidelines on STEMI reperfusion management do not incorporate further electrocardiographic details over the presence of significant ST elevation. Fibrinolysis is considered an alternative therapy to primary PCI if there is a long PCI-related delay, but the 2 therapies should not be combined. Meanwhile, reperfusion for ischemic stroke has evolved on mechanistic understanding - reperfusion benefit being greatest in the patient with small “core” infarct and large ischemic “penumbra”. Fibrinolysis is not regarded as an alternative to mechanical thrombectomy, and the 2 therapies can be combined.
Source: International Journal of Cardiology - November 9, 2016 Category: Cardiology Authors: Cheuk-Kit Wong Tags: Review Source Type: research