Chapter 32. Mechanical Reperfusion Strategies in Patients Presenting with Acute Myocardial Infarction

  1. Salim Yusuf1,
  2. John A Cairns2,
  3. A John Camm3,
  4. Ernest L Fallen4 and
  5. Bernard J Gersh5
  1. Sanjaya Khanal and
  2. W Douglas Weaver

Published Online: 4 OCT 2007

DOI: 10.1002/9780470986882.ch32

Evidence-based Cardiology, Second Edition

Evidence-based Cardiology, Second Edition

How to Cite

Khanal, S. and Weaver, W. D. (2002) Mechanical Reperfusion Strategies in Patients Presenting with Acute Myocardial Infarction, in Evidence-based Cardiology, Second Edition (eds S. Yusuf, J. A. Cairns, A. J. Camm, E. L. Fallen and B. J. Gersh), BMJ Books, London, UK. doi: 10.1002/9780470986882.ch32

Editor Information

  1. 1

    Heart and Stroke Foundation of Ontario Research Chair, Senior Scientist of the Canadian Institute of Health Research, Director of Cardiology and Professor of Medicine, McMaster, University, Hamilton Health Sciences, Hamilton, Canada

  2. 2

    Dean, Faculty of Medicine, University of British Columbia, Vancouver, Canada

  3. 3

    Professor of Clinical Cardiology and Chief, Department of Cardiological Sciences, St George's Hospital Medical School, London, UK

  4. 4

    Professor Emeritus, McMaster University, Faculty of Health Sciences, Hamilton, Canada

  5. 5

    Consultant in Cardiovascular Diseases and Internal Medicine, Mayo Clinic; Professor of Medicine, Mayo Medical School, Rochester, Minnesota, USA

Publication History

  1. Published Online: 4 OCT 2007
  2. Published Print: 20 NOV 2002

ISBN Information

Print ISBN: 9780727916990

Online ISBN: 9780470986882



  • mechanical reperfusion;
  • Non-St-segment elevation myocardial infarction (NSTEMI);
  • randomized controlled trials;
  • fibrinolytic therapy;
  • on-site cardiac surgery


This chapter contains sections titled:

  • Introduction

  • Randomized controlled trials: direct PTCA v fibrinolytic therapy

  • Fibrinolytic therapy v stenting

  • Fibrinolytics, transport or direct PCI without on-site cardiac surgery

  • Balloon angioplasty v stenting

  • PCI with or without Gp IIb/IIIa inhibitors

  • Conclusions and recommendations