The Living Guidelines: PCI for STEMI in Conjunction with Concomitant Fibrinolytic Therapy Suggest Revisions to the CLASS IIb Guidelines

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Class IIb Guidelines
1. Facilitated PCI using regimens other than full-dose fibrinolytic therapy might be considered as a reperfusion strategy when all of the following are present: a. Patients are at high risk, b. PCI is not immediately available within 90 minutes, and c. Bleeding risk is low (younger age, absence of poorly controlled hypertension, normal body weight). (Class IIb Level of Evidence: C)