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Background. In Rotterdam, since 1988, prehospital thrombolysis in acute myocardial infarction (MI) patients can be initiated per protocol. To avoid false positives, infarction is confirmed by strict electrocardiographic criteria: sum ST-elevation =< 1.0 mV (10 mm). Consequently, prehospital therapy is limited to only 1 of the patients eligible for inhospital treatment. We formulated new criteria...
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