Treating coronaries, at home or away?

摘要

Zijlstra et al end their discussion by calling for a randomised trial. Many aspects concerning direct angio- plasty require such studies. However, without the major sponsorship accorded to the thrombolytic megatrials, it is unlikely that a study of sufficient size and power will be conducted to convince thrombolysis devotees. However, even the most monotherapeutic physician should remem- ber that direct angioplasty has a place infarct management. They should remain on good terms with their nearest angioplasty service (or develop one locally).