TCTMD -- Routine early percutaneous coronary intervention (PCI) following fibrinolysis in patients with ST-segment elevation myocardial infarction (STEMI) reduces reinfarction and recurrent ischemia at 30 days compared to the standard, more selective approach without increasing stroke or bleeding risk, according to a meta-analysis published online July 2, 2010, ahead of print in the European Heart Journal. However, no difference was seen in 30-day mortality.