Was Thrombolysis Successful at Reperfusion?
Rescue PCI refers to PCI within 12 hours after failed fibrinolysis for patients with continuing or recurrent myocardial ischemia. Thrombolytic failure may be evident by failure of ST-elevation to resolve within 30 to 60 minutes of thrombolytic therapy and usually includes persistent symptoms. Guidelines for time from arrival to balloon inflation are not established for this complex subset of patients, but rescue percutaneous coronary intervention should be accomplished within 90 to 120 minutes of thrombolytic failure if possible. According to the 2004 AHA/ACC guidelines for patients with ST-Elevation myocardial infarction [R]: Rescue PCI should be performed in patients less than 75 years old with ST elevation or LBBB who develop shock within 36 hours of MI and are suitable for revascularization that can be performed within 18 hours of shock, unless further support is futile because of the patient’s wishes or contraindications/unsuitability for further invasive care. Rescue PCI should b
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