In this analysis of >43,000 patients who presented with STEMI within 12 hours of symptoms in >600 US medical centers, researchers analyzed the association of time to PCI and death. Median time to PCI was 83 minutes, but the longer the time the PCI, the higher the mortality. Those with PCI in 30 minutes had a death rate of 3%, and those with PCI in 150 minutes had a death rate of 7%. Although clinical guidelines recommend PCI within 90 minutes, the recommendation should be “the sooner the better” (abstract).
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