Comparison of mortality rates in acute myocardial infarction treated by percutaneous coronary intervention versus fibrinolysis

Am J Cardiol. 2005 Jan 1;95(1):100-1. doi: 10.1016/j.amjcard.2004.08.069.


We studied the relation between angioplasty-related time delay and the effectiveness of the intervention in decreasing death compared with fibrinolysis in patients who had acute myocardial infarction. The absolute survival benefit of angioplasty compared with fibrinolysis decreased by 0.24% for every additional 10-minute delay. Regression analysis showed that percutaneous coronary intervention remained superior to fibrinolysis when a time delay related to percutaneous coronary intervention extended to 110 minutes.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Angioplasty, Balloon, Coronary*
  • Humans
  • Myocardial Infarction / mortality*
  • Myocardial Infarction / therapy*
  • Randomized Controlled Trials as Topic
  • Thrombolytic Therapy*
  • Time Factors