RT Journal Article SR Electronic A1 Rizzo, Toni T1 Optimizing Therapy for Acute Coronary Syndrome JF MD Conference Express YR 2015 FD SAGE Publications VO 15 IS 10 SP 27 OP 30 DO 10.1177/1559897715591130 UL http://mdc.sagepub.com/content/15/10/27.abstract AB Percutaneous coronary intervention is the primary treatment for patients with acute coronary syndrome. Selective use of manual thrombectomy may be an effective option. P2Y12 inhibitors are a treatment of choice in patients with STEMI. Bivalirudin reduces adverse cardiac events and is associated with reduced bleeding. When percutaneous coronary intervention is delayed in patients with STEMI, fibrinolytic therapy should be administered.