[05.20.2023] Updated content, AnKing Overhaul for Step 1 & 2/AnKingMed, ID 405316

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@herstein.jacob @CTE_BrainDamage @shmuelsash @Stillmatic @Tahseen @Bilal @StanG

Didn’t we just change this recently for some other card?

Support. Is it a dupe, cause I remember this too. Also why can’t we do after 120 mins? I mean unless the Q waves have developed, we have to go for myocardial salvage.

“ If the total door to balloon time, including transport, will be > 120 min, treat patient with fibrinolytic therapy, such as alteplase, if there are no contraindications, within 30 min from the onset of symptoms, and then transport patient to a hospital with PPCI capacity in case fibrinolysis does not work or the patient develops recurrent infarction.”

It’s a bit confusing. We can go for PCI even after 120 mins, especially if there are contraindications to fibrinolytic therapy. It’s just that after 120 mins the both have kinda similar efficacy.