[Comparison between primary PCI and thrombolytic therapy results in patients with acute st-elevation MI]

ABSTRACT

Early revascularization is the main step in treatment of patients with acute MI which since a few years ago has been done via P-PCI. Since thrombolytic therapy is performed as a standard method of therapy of acute MI in all centers not equipped with angiography and angioplasty systems, we decided to compare these two methods in the university centers in Iran. This prospective study was conducted on STEMI [ST Elevation MI] patients referred to emergency department of Shohadaye Tajrish and Shahid Modarres Hospitals, in Tehran, for early revascularization using thrombolytic therapy or Primary PCI. We compared these two methods of revascularization based on the effects on ejection fraction, ST-resolution and complications. 287 patients [144 in T.T group and 143 in P-PCI group] were enrolled in our study. There were no differences in ejection fraction between the two groups, but STresolution was significantly better in the P-PCI group [P< 0.001]. The rate of complications was similar in both groups. It seems the P-PCI is more effective than T.T in patients with STEMI