PT  - JOURNAL ARTICLE
AU  - A Suri
AU  - S Ahsan
AU  - J Lim
AU  - T-P Cusack
AU  - T P Chua
AU  - E W Leatham
TI  - Early administration of thrombolysis can prevent myocardial necrosis: time is myocardium
AID  - 10.1136/emj.2008.068767
DP  - 2009 Jul 01
TA  - Emergency Medicine Journal
PG  - 541--542
VI  - 26
IP  - 7
4099  - http://emj.bmj.com/content/26/7/541.short
4100  - http://emj.bmj.com/content/26/7/541.full
SO  - Emerg Med J2009 Jul 01; 26
AB  - A case is presented in which a 66-year-old man received thrombolysis for an acute ST elevation myocardial infarction (STEMI) within 6 minutes of developing chest pain. An ECG performed 10 minutes after thrombolysis showed complete resolution of the ST segment elevation and showed no other abnormality. An echocardiogram showed normal left ventricular function and there was no detectable myocardial necrosis, as evidenced by two negative troponin assays. The case clearly reinforces the benefits of the rapid delivery of thrombolysis when appropriate for patients with STEMI. Clinicians need to be aware of the benefits of early thrombolysis as laid out in the national service framework. Evidence for the early administration of thrombolysis, data from the Myocardial Infarction National Audit Project and the future with regard to improving thrombolysis times are discussed.