Editorial Fibrinolysis may widen the time window for primary angioplasty

This editorial refers to ‘Primary angioplasty vs. early routine post-fibrinolysis angioplasty for acute myocardial infarction with ST-segment elevation: the GRACIA-2 non-inferiority, randomized, controlled trial’ † by F. Fernández-Avilés et al., on page 949 Recently published clinical trials have demonstrated superiority of primary percutaneous coronary intervention (PPCI) over lysis in ST-elevation myocardial infarction (STEMI) treatment. Current practice guidelines1 have estab-lished PPCI as a preferred method of reperfusion in STEMI, as long as it can be performed within 90 min from patient’s first medical contact. However, in the majority of cases achieving this 90 min time goal proves impossible, mainly because the STEMI care is not streamlined enough between different levels and components of health car