|
Treatment delay
|
Time from symptom onset
|
|---|
|
< 2 h
|
2–3 h
|
3–6 h*
|
|---|
|
< 60 min
|
Primary PCI
|
Primary PCI or fibrinolysis†
|
Primary PCI
|
|
60–120 min
|
Fibrinolysis†
|
Primary PCI or fibrinolysis†
|
Primary PCI
|
|
> 120 min
|
Fibrinolysis†
|
Fibrinolysis†
|
Fibrinolysis†
|
- Patients with higher risk, including those with Killip class > 1, may benefit from primary PCI even when there are treatment delays up to 120 min
- PCI percutaneous coronary intervention
- *If time from symptom onset is greater than 6 h, primary PCI is appropriate regardless of treatment delay
- †In case of fibrinolytic therapy, immediate transfer to a PCI center after fibrinolysis should be considered for cardiac angiography within 3 to 24 h
