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Editorial
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Volume 358:2277-2279 May 22, 2008 Number 21
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Does Thrombolytic Therapy Facilitate or Foil Primary PCI?
Jane A. Leopold, M.D.

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-Related Article
 by Ellis, S. G.
-PubMed Citation
Sir Winston Churchill once said, "It's not enough that we do our best; sometimes we have to do what is required." Such a sentiment underlies the premise of facilitated percutaneous coronary intervention (PCI), a therapeutic strategy of pharmacologic thrombolysis before mechanical intervention for the treatment of ST-segment elevation myocardial infarction. Despite our best efforts to provide timely primary PCI to improve myocardial salvage, patient-related delays to presentation, the necessity for transfer of the patient to a facility capable of performing PCI, and presentation of the patient to the hospital during off-hours may all conspire to extend the time from the . . . [Full Text of this Article]


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From the Cardiovascular Medicine Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston.


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