Rising to the challenge: transforming the treatment of ST-segment elevation myocardial infarction

William A. Ghali*, Cameron R. Donaldson, Merril L. Knudtson, Steven J. Lewis, Colleen J. Maxwell, Jack V. Tu

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)

Abstract

The treatment of ST-segment elevation myocardial infarction has undergone profound changes since the bedrest era of the 1960s. Most recently, the use of percutaneous coronary intervention (PCI) has been shown to be superior to thrombolysis. However, to be effective, PCI must be done as soon as possible after MI. Patients in large urban areas of Canada may have access to PCI, but what about those in most other areas? We asked 2 groups of authors to comment on the gap between evidence and implementation as well as the barriers to round-the-clock PCI capability in Canada and how they can be overcome. The perspective of Madhu Natarajan and Salim Yusuf precedes this comment.

Original languageEnglish
Pages (from-to)35-37
Number of pages3
JournalCMAJ. Canadian Medical Association Journal
Volume169
Issue number1
Publication statusPublished - 8 Jul 2003
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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