PMID- 22013562 OWN - NLM STAT- MEDLINE DCOM- 20111108 LR - 20170427 IS - 1699-3993 (Print) IS - 1699-3993 (Linking) VI - 47 IP - 7 DP - 2011 Jul TI - Recombinant tissue-type plasminogen activators: "time matters". PG - 559-70 LID - 10.1358/dot.2011.47.7.1600191 [doi] AB - Although acute ST elevation myocardial infarction (STEMI) was described nearly a century ago, it remains a major health problem not only in the U.S. but also worldwide with more than three million people suffering STEMI every year. Primary percutaneous coronary intervention (PPCI) is now the treatment of choice for the management of patients with STEMI. In the 20th century, fibrinolytics were the agents of choice for the management of patients with acute STEMI and they continue to be utilized in centers where PPCI facilities are not readily available. Large-scale trials were performed comparing streptokinase and new agents such as the recombinant tissue-type plasminogen activators. This article discusses the use of recombinant tissue plasminogen activators for the management of patients with acute STEMI and the importance of restoring optimal timely reperfusion of the myocardium. CI - Copyright 2011 Prous Science, S.A.U. or its licensors. All rights reserved. FAU - Kunadian, V AU - Kunadian V AD - Institute of Cellular Medicine, Newcastle University and Cardiothoracic Centre, Newcastle upon Tyne, UK. FAU - Gibson, C M AU - Gibson CM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Spain TA - Drugs Today (Barc) JT - Drugs of today (Barcelona, Spain : 1998) JID - 101160518 RN - 0 (Fibrinolytic Agents) RN - 0 (Recombinant Proteins) RN - EC 3.4.21.68 (Tissue Plasminogen Activator) SB - IM MH - Electrocardiography MH - Fibrinolytic Agents/*therapeutic use MH - Humans MH - Myocardial Infarction/drug therapy MH - Recombinant Proteins/therapeutic use MH - Stroke/drug therapy MH - Tissue Plasminogen Activator/pharmacology/*therapeutic use EDAT- 2011/10/21 06:00 MHDA- 2011/11/09 06:00 CRDT- 2011/10/21 06:00 PHST- 2011/10/21 06:00 [entrez] PHST- 2011/10/21 06:00 [pubmed] PHST- 2011/11/09 06:00 [medline] AID - 1600191 [pii] AID - 10.1358/dot.2011.47.7.1600191 [doi] PST - ppublish SO - Drugs Today (Barc). 2011 Jul;47(7):559-70. doi: 10.1358/dot.2011.47.7.1600191.