Treatment Options for STEMI Patients who Present to Hospitals without PCI Capability

Eric R Bates, MD
Division of Cardiovascular Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA

Although primary percutaneous coronary intervention (PPCI) is preferable to fibrinolytic therapy as a reperfusion strategy, only 25% of US hospitals have PPCI capability. Therefore, developing an optimal reperfusion strategy with the available resources and geographic limitations is a major challenge for a hospital without PPCI capability.
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