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Abstract #4519

Comparison of Instant Thrombolysis Plus Early PCI and Primary PCI in STEMI Patients, View of CMR Early After Reperfusion Therapy

Heng Ge1, Jun Bo1, Haiyan Ding2, Robert Manka3, Zheng Li1, Jianrong Xu1, Ben He1

1Cardiology, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China; 2Center for Biomedical Imaging Research, Tsinghua University, Bei Jing, China; 3Cardiology, University hospital Zurich, Zurich, Switzerland


This abstract demonstrated preliminary CMR results from an ongoing randomized study comparing efficacy of instant thrombolysis plus early PCI against primary PCI in STEMI patients. CMR data suggested overall equal outcomes between the two treatments regarding to the left ventricular function, necrosis size and microvascular dysfunction. This supports the usage of instant thrombolysis plus early PCI strategy as a reasonable alternative reperfusion modality for STEMI patients.