Layth Ahmad Mimish Consultant Cardiologist The Cardiovascular Consultants Group Jeddah, KSA.

Post on 21-Dec-2015

238 views 0 download

Tags:

Transcript of Layth Ahmad Mimish Consultant Cardiologist The Cardiovascular Consultants Group Jeddah, KSA.

Layth Ahmad Mimish

Consultant Cardiologist

The Cardiovascular Consultants Group

Jeddah, KSA

Importance of Time To Reperfusion

Primary PCI versus Lysis

Weaver JAMA 1997

Death, Re-MI, Stroke

GUSTO IIB, NEJM

Van’t Hof, EHJ 1998

1990-95 No stents

Gibler: Annals Emerg Med, 2002

DANAMI Trial, ACC2002, PRAGUE-2, ESC 2002

Ross, JACC 1999

Ross, AHA 2000

Death, Re-infarction, Emergency revascularization, or recurrent Ischemia