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Debate Focuses on Door-to-balloon Time in Heart Attack Treatment

re-establishment of blood flow through an open artery.

Dr. Bates countered that the 90-minute cut-off is sufficiently valid that a hospital unable to offer percutaneous coronary intervention (PCI) within that time frame should consider treating patients with clot-busting medications, rather than transporting them to a PCI-capable hospital. "Otherwise, those patients are paying a penalty for using PCI," he said.

That would be an undesirable consequence of an overly rigid goal, according to Dr. Henry. "Primary PCI is the best method of reperfusion for patients who are having a heart attack," he said. "Everyone in the United States should have the opportunity for primary PCI if they need it."


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