PCI in late-presenting STEMI: how late is too late?

Take Home Messages
PPCI is of benefit in patients presenting more than 12 hours post STEMI with evidence of ongoing ischaemia, shock, malignant arrhythmias, or heart failure PCI in patients presenting between 12 and 48 hours appears to reduce overall mortality, and improve LV function PCI in asymptomatic patients with an occluded infarct-related artery beyond 48 hours is not of benefit in the absence of significant angina or inducible ischaemia

Take Home Messages

PPCI is of benefit in patients presenting more than 12 hours post STEMI with evidence of ongoing ischaemia, shock, malignant arrhythmias, or heart failure
PCI in patients presenting between 12 and 48 hours appears to reduce overall mortality, and improve LV function
PCI in asymptomatic patients with an occluded infarct-related artery beyond 48 hours is not of benefit in the absence of significant angina or inducible ischaemia