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Prehospital thrombolysis for STEMI: a strategy for town and country?

David B Brieger
Med J Aust 2011; 195 (3): 157-158.

To the Editor: A review by Harper and Lefkovits favoured increased use of prehospital thrombolysis (PHT) for the management of ST-elevation myocardial infarction (STEMI).1 The acknowledged importance of early reperfusion and the ready application of PHT make this a sound recommendation for settings that are remote from percutaneous coronary intervention (PCI) centres. However, the recommendation of using PHT for patients presenting within 2 hours of symptom onset in metropolitan areas is more controversial.

  • David B Brieger

  • Concord Repatriation General Hospital, Sydney, NSW.


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