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BACKGROUND:It is uncertain whether adjunctive thrombolysis is beneficial for patients with ST-segment–elevation myocardialinfarction undergoing percutaneous coronary intervention (PCI) within 120 minutes of presentation. The infarct size was detected by cardiac magnetic resonance 5 days after randomization. versus 29.0%;P<0.001)
CAPTIM trial was published in 2002, which left a gospel truth in the science of myocardial reperfusion (two decades gone now). It is a sad academic story ,most of the interventional cardiology community shrugged it off as a non-event. In this context, we need a movement to revive the pre-hospital thrombolysis.
The open-data movement seeks to liberate the massive amount of data generated in running clinical trials from the grasp of the academic medical-pharmaceutical industrial complex that mostly runs the most important trials responsible for bringing novel therapeutics to market. But first, some background.
ECG #3 is easily recognized as OMI and the AI model recommends immediate revascularization The patient in today's case received suboptimal care and suffered a substantial myocardialinfarction. Here is evidence for this: Opiates are associated with worse outcomes in MyocardialInfarction. Abstract 556.
REFERENCE Prevention of primary ventricular fibrillation in acute myocardialinfarction with prophylactic lidocaine [link] Primary ventricular fibrillation (VF) during an acute myocardialinfarction (AMI) occurs with a high incidence and mortality rate with or without thrombolysis. Mortality rates were 10.5%
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