DISCLOSURE DISCLOSURE DISCLOSURE TIME IS MYOCARDIUM TIME IS

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TIME IS MYOCARDIUM

TIME IS MYOCARDIUM DISCLOSURE JAMA 2005; 293: 973 -986

TIME IS MYOCARDIUM E. Antman , F de. Werf Circulation 2009; 109 : 2480 -2486

REPERFUSION in acute STEMI v. THROMBOLYSIS (TL) v. Primary PCI (P-PCI) v. COMBINATION TL and PCI (pharmacoinvasive strategy= PCI early (with in 2 -24 h) NOT immediately after successful thrombolysis)

TROMBOLYSIS vs Primary PCI Pr C P y r a im R E T T E B I

REAL WORLD DATA FAST MI REGISTRY DISCLOSURE -

REAL WORLD DATA NATIONAL REGISTRY for MYOCARDIAL INFARCTION ΔΗΛΩΣΗ ΣΥΜΦΕΡΟΝΤΩΝ -

PHARMACOINVASIVE STRATEGY vs THROMBOLYSIS STUDIES SIAM CRACIA I CAPITAL AMI TRANSFER AMI NORDISTEMI

PHARMACOINVASIVE STRATEGY vs THROMBOLYSIS R E T T STUDIES BE e v i SIAMas v n i CRACIA I o c a h P a rm CAPITAL AMI TRANSFER AMI NORDISTEMI

PHARMACOINVASIVE STRATEGY vs Primary PCI STUDIES CRACIA 2 WEST CAPTIM STREAM

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PHARMACOINVASIVE STRATEGY vs Primary PCI r o T LEN P A V I STUDIES U Q E e v i s R a CRACIA 2 E v T n i T E o c B a m WEST har CAPTIM STREAM

ΣΥΜΠΕΡΑΣΜΑΤΑ • ΧΡΟΝΟΣ=ΜΥΟΚΑΡΔΙΟ ‘’ IN STEMI TREATMENT THE GOAL IS MYOCARDIAL REPERFUSION/SALVAGE NOT EPICARDIAL REPERFUSION, , Danchin et al Ciculation 2014

ΣΥΜΠΕΡΑΣΜΑΤΑ • Η PRIMARY PCI ΕΙΝΑΙ Η ‘’GOLD STANTARD’’ ΘΕΡΑΠΕΙΑ ΤΟΥ STEMI • FMC-wire crossing < 120 min (non ppci hospital) • FMC-wire crossing < 60 min ( ppci hospital)

PHARMACO-INVASIVE STRATEGY