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

Primary percutaneous coronary intervention (PPCI) is the preferring reperfusion modality for ST-segment elevation myocardial infarction (STEMI) patient in the initial 12 hours after onset of symptom. When PPCI will be remarkably detained, instant thrombolysis is recommended as an alternative therapy. Early PCI after successful thrombolysis may improve the outcome comparing to thrombolysis alone. However, efficacy of this strategy in the view of cardiovascular magnetic resonance (CMR) is not clear. This study aims to compare CMR results early after reperfusion between strageties of PPCI and instant thrombolysis plus early PCI.