Juhana Karha, MD Department of Cardiovascular Medicine, The Cleveland Clinic Foundation
Matthew A. Hook, MD Department of Cardiovascular Medicine, The Cleveland Clinic Foundation
Sorin J. Brener, MD Director, Core Angiography Laboratory, Department of Cardiovascular Medicine, The Cleveland Clinic Foundation; Associate Professor of Medicine, Cleveland Clinic Lerner College of Medicine
Address: Sorin J. Brener, MD, Department of Cardiovascular Medicine, F25, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195; e-mail breners@ccf.org
ABSTRACTPatients with acute myocardial infarction (MI) with ST-segment elevation have better outcomes with primary percutaneous coronary intervention (PCI) than with fibrinolytic therapy. Multiple clinical trials in the past 10 years have addressed ways to improve PCI as primary therapy for acute MI. Logistic strategies to improve access to PCI are being studied.