Correspondence: routine early angioplasty after fibrinolysis

To the Editor: Cantor et al. (June 25 issue)1 conclude that among high-risk patients with ST-segment elevation myocardial infarction who receive fibrinolysis, prompt interhospital transfer for early percutaneous coronary intervention (PCI) after fibrinolysis is associated with significantly fewer ischemic complications than is standard treatment. Fundamental to this study’s findings are the criteria for identifying the high-risk patients who are likely to benefit from routine early angioplasty after fibrinolysis. ...................................................