What are the indications for PCI of an Infarct Artery in Patients Who Were Managed With Fibrinolytic Therapy or Who Did Not Receive Reperfusion Therapy?
The indications for PCI of an Infarct Artery in Patients Who Were Managed With Fibrinolytic Therapy or Who Did Not Receive Reperfusion Therapy are cardiogenic shock or acute severe heart failure (Class I, Level of Evidence B), intermediate- or high-risk findings on predischarge noninvasive ischemia testing (Class I, Level of Evidence C), spontaneous or easily provoked myocardial ischemia (Class I, Level of Evidence C), patients with evidence of failed reperfusion or reocclusion after fibrinolytic therapy (Class IIa, Level of Evidence B), stable patients after successful fibrinolysis, ideally between 3 and 24 hours (Class IIa, Level of Evidence B), and delayed PCI of a totally occluded infarct artery more than 24 hours after STEMI in stable patients (Class III: No Benefit, Level of Evidence B).