What is the recommendation for Primary PCI in STEMI patients?
The recommendations for Primary PCI in STEMI patients are Class I: Primary PCI should be performed in patients with STEMI and ischemic symptoms of less than 12 hours duration (Level of Evidence: A); Primary PCI should be performed in patients with STEMI and ischemic symptoms of less than 12 hours duration who have contraindications to fibrinolytic therapy, irrespective of the time delay (Level of Evidence: B); Primary PCI should be performed in patients with STEMI and cardiogenic shock or acute severe HF, irrespective of time delay from MI onset (Section (Level of Evidence: B). Class IIa: Primary PCI should be considered in patients with STEMI and ischemic symptoms of more than 12 hours duration (Level of Evidence: B).