Search for: [Abstract = "Group B. There was a trend towards worse myocardial perfusion in immediate PCI group \(tMPG 2\+3 88% vs 67%, p=0.06\). Patients in delayed PCI group had better \(although statistically insignificant\) spontaneous perfusion grade after 3 days \(tMPG2\+3 81% vs 91%, p=0.2\). There were no differences in infarct size measured in CMR in both groups \(10,1±10 vs. 10,5±5, p=NS\). However, patients with immediate PCI presented higher LV end\-systolic and diastolic volumes. The LV ejection fraction was significantly lower in patients after immediate PCI. In two patient in delayed group recurrence ischemia with urgent PCI occurs during hospitalization. There were no haemorrhagic strokes. Also no differences in major bleeding complications were not observed. Immediate percutaneous coronary intervention for ST\-elevation myocardial infarction after initial lytic therapy with TIMI 3 flow is efficacious but does not improve myocardial perfusion. PCI delay is associated with additional recurrent ischemia \(urgent PCI\). However delayed angioplasty influences better myocardial perfusion. Infarct size is comparable in the groups. However immediate angioplasty after successful fibrynolisis may course left ventricular functionworsening in long term follow up."]

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