Ota Hlinomaz
Primary percutaneous coronary intervention is a method of choice in the treatment of patients with myocardial infarction with ST-segment elevation with the time from symptom onset <12 hours, and it should be considered in all patients presenting within 12-48 hours after the symptoms onset. The maximum planned delay of pPCI against thrombolysis is 120 minutes. Primary transfer of patients with STEMI directly to a cardiovascular centre improves their prognosis. Regular follow up and evaluation of time intervals before reperfusion is a prerequisite. We must treat a culprit lesion during the primary PCI. Routine revascularization of non-culprit lesions should be considered before hospital discharge. In cardiogenic shock, routine revascularization of non-culprit lesions is not recommended during the primary PCI. A routine use of thrombus aspiration is not recommended.