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Chest Pain / Angina Pectoris: Difference between revisions
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:::a. Within one hour, primary PCI is generally preferred. | :::a. Within one hour, primary PCI is generally preferred. | ||
:::b. Greater than one hour, fibrinolytic therapy with a fibrin-specific agent is generally preferred. | :::b. Greater than one hour, fibrinolytic therapy with a fibrin-specific agent is generally preferred. | ||
< | <ol start="3"> | ||
<li | :<li>If the symptom duration is greater than three hours, primary PCI is generally preferred. | ||
<li | :<li>Primary PCI should be performed in patients less than 75 years of age who develop shock within 36 hours of MI and are suitable for revascularization that can be performed within 18 hours of shock unless further support is futile because of the patient's wishes or contraindications or unsuitability for further invasive care. | ||
:<li>Primary PCI should be performed in patients with severe HF and/or pulmonary edema (Killip class 3) and symptom onset within 12 hours. | |||
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| style="background: #fdaa02; vertical-align:top;" | '''Class IIa''' | | style="background: #fdaa02; vertical-align:top;" | '''Class IIa''' | ||