ESC guidelines for percutaneous coronary interventions

Abstract

The guidelines on primary percutaneous coronary intervention (PCI) published in the April issue of the European Heart Journal recommend early PCI for most of the clinical spectrum of acute coronary syndromes (ACSs).1 In a recent editorial, the issue of thrombolysis vs. primary PCI for ST-elevation myocardial infarction is raised again by Townend and Doshi.2 They suggest adopting a strategy of early, pre-hospital thrombolysis, followed by early PCI. The merits of early PCI are deemed to be established and are incorporated in recent guidelines from …