Thrombolysis or Primary PCI in the Treatment of Acute MI
S. Chiu Wong MD, FACCAssociate Professor of MedicineWeill Medical College of Cornell UniversityDirector, Cardiac Catheterization LaboratoriesThe New York Presbyterian Hospital-Cornell Campus
Thrombolysis or PCI in AMI
Patho-Anatomy of AMI
Coronary Arteries in Fatal Acute
By WILLIAM C. ROBERTS, M.D.
The coronary arteries are diffusely involved by atherosclerotic plaques in fatal acute myocardial infarction (AMI). The degree of luminal narrowing may vary but plaques are present in practically every millimeter of extramural coronary artery. Usually the lumens of at least two of the three major coronary arteries are narrowed >75% by old plaques in patients who die suddenly (