The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

Effective Reperfusion for Acute Myocardial Infarction Begins with Effective Health Policy

Thomas H. Lee, MD
[+] Article, Author, and Disclosure Information

Partners Community HealthCare, Inc., Boston, MA 02199 Requests for Reprints: Thomas H. Lee, MD, Partners Community HealthCare, Inc., Suite 1150, Prudential Tower, 800 Boylston Street, Boston, MA 02199. Requests for Reprints: Thomas H. Lee, MD, Partners Community HealthCare, Inc., Suite 1150, Prudential Tower, 800 Boylston Street, Boston, MA 02199.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1997;126(8):652-653. doi:10.7326/0003-4819-126-8-199704150-00011
Text Size: A A A

“Time is muscle” is a cute but concise summary of two decades of research demonstrating the value of reperfusion therapy for patients with acute myocardial infarction and the importance of early initiation of treatment. On the basis of this research, the National Heart, Lung, and Blood Institute launched the National Heart Attack Alert Program in 1991. This program promotes the goal of treating acute myocardial infarction within 60 minutes of the onset of symptoms [1] and has helped many hospitals reduce the time between presentation and the initiation of thrombolytic therapy to less than 30 minutes. No evidence, however, suggests that the much longer interval between onset of symptoms and hospital presentation has changed.

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Safety aspects of iron in food. Ann Nutr Metab 2001;45(3):91-101.
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.