The Living Guidelines: STEMI Reperfusion Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) As a system’s goal, STEMI patients presenting to a hospital with PCI capability should be treated with primary PCI within 90 min of first medical contact. ‘’’Class I, Level of Evidence: A’’’
 * 2) STEMI patients presenting to a hospital without PCI capability and who cannot be transferred to a PCI center and undergo PCI within 90 min of first medical contact should be treated with fibrinolytic therapy within 30 min of hospital presentation as a systems goal unless fibrinolytic therapy is contraindicated. ‘’’Class I, Level of Evidence: B’’’