The influence of pre-hospital medication administration in ST-elevation myocardial infarction patients on left ventricular ejection fraction and intra-hospital death.

Similarly, in the randomized CIPAMI trial assessing the difference between early (pre-hospital) clopidogrel administration and its administration in hospital (after coronarography and before angioplasty), a lower number of deaths, fewer recurrences of myocardial infarction and fewer revascularization procedures during hospitalization were observed in the group of patients who received clopidogrel in an ambulance, but this result did not reach statistical significance (7.5% vs. 2.5%, p = 0.06) [ 16 ].

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