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Figure 3. Indications for Revascularization in STEMI
(Patients Without Fibrinolytics)
Treatment
STEMI and ischemic
symptoms
Symptom onset
<12 h
Primary PCI
(1)
CABG
(1)
PCI feasible?
NO YES
Primary PCI
(1)
PCI
feasible?
YES
NO
Large area or
myocardium
at risk
CABG
(2a)
Cardiogenic
shock or heart
failure