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Optimal reperfusion strategy for acute myocardial infarction.

Primary percutaneous coronary intervention has proved to be a superior intervention strategy for acute myocardial infarction than pre-hospital thrombolysis. Both strategies are being used in the UK in parallel, and time to intervention is crucial with both strategies. The Myocardial Infarction National Audit Project registry is showing a gradual move towards percutaneous coronary intervention as the strategy of choice when available.