What is the recommendation for PCI of an infarct artery in patients who initially were managed with fibrinolysis or who did not receive reperfusion therapy?
The recommendation for PCI of an infarct artery in patients who initially were managed with fibrinolysis or who did not receive reperfusion therapy is Class I, which states that PCI of an anatomically significant stenosis in the infarct artery should be performed in patients with suitable anatomy and any of the following: cardiogenic shock or acute severe heart failure (Level of Evidence: B); intermediate- or high-risk findings on pre-discharge noninvasive ischemia testing (Level of Evidence: C); or myocardial ischemia that is spontaneous or provoked by minimal exertion during hospitalization (Level of Evidence: C). 