It is well established the prompt reperfusion therapy within the first six hours of MI symptom onset can significantly reduce mortality and morbidity after MI, and reperfusion therapy with PCI/stenting or fibrinolysis is well established. However, it is not uncommon that a patient will undergo coronary angiography 12 or even 24 hours after MI, where a totally occluded artery is identified at that point in time. We present a case of such a patient and review a classic clinical trial that addresses this clinical situation.

Course Details

In this course, you will learn:
  • To identify patients who present at later time points when reperfusion therapy is less well established
  • To enumerate patient-specific considerations when considering PCI in patients presenting late after MI
  • To appropriately apply the results of a classic clinical trial relating to this situation
  • To consider the appropriate clinical guidelines as they apply to patients presenting late after MI

Method and medium:

Learners participate in the interactive learning modules by correctly answering multiple choice questions dispersed throughout. Learners will be prompted to try again if a question is answered incorrectly.

The course will open in a new tab – to exit the course, simply close that tab.


Estimated time to Complete: 15 minutes
Credit/contact hours: .25
Expiration date: May 9, 2021
Publication date: May 10, 2018

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Course Author

Lawrence W Gimple, MD

Dr. Gimple isĀ an attending cardiologist at the University of Virginia Health System with a sub-specialty in interventional cardiology.
Learn More about Lawrence W Gimple, MD.

DISCLOSURE: This individual reports no relevant financial relationships with commercial entities.