title: Lessons from primary PCI practice for the next decade.
abstract: Primary percutaneous coronary intervention (PPCI) is the reperfusion treatment of choice for acute ST-elevation myocardial infarction with studies having demonstrated improved outcomes with PPCI over thrombolysis. Its use has increased substantially over the last decade, overtaking thrombolytic therapy in many countries. This has been paralleled with advances in adjunctive technology and pharmacological therapy to further improve outcome, but challenges remain for PPCI practitioners. The evidence behind PPCI is reviewed at every stage of the patient's journey.
authors.affiliation: Department of Cardiology, City Hospital, Birmingham, UK.
authors.forename: Leong
authors.initials: L
authors.lastname: Lee
authors.affiliation: Department of Cardiology, City Hospital, Birmingham, UK.
authors.forename: Chetan
authors.initials: C
authors.lastname: Varma
mesh_terms: D006801:Humans; D009203:Myocardial Infarction / Q000601:surgery*; D061646:Operative Time; D062645:Percutaneous Coronary Intervention / Q000639:trends*; D011183:Postoperative Complications / Q000517:prevention & control*; D012042:Registries
keywords: CORONARY ARTERY DISEASE; MYOCARDIAL ISCHAEMIA AND INFARCTION (IHD)