Final answer:
Optimally performed primary PCI is the preferred reperfusion strategy over fibrinolytics for STEMI.
Step-by-step explanation:
The statement is true: optimally performed primary percutaneous coronary intervention (PCI) is the preferred reperfusion strategy over fibrinolytics for ST-elevation myocardial infarction (STEMI). Primary PCI involves mechanical opening of the blocked coronary artery using balloons and stents, which allows for rapid and complete restoration of blood flow to the heart. In comparison, fibrinolytics are medications that dissolve blood clots and restore blood flow.
Primary PCI has been consistently shown to have better outcomes in terms of reducing mortality rates, reinfarction, and stroke when compared to fibrinolytics. It is the recommended treatment for eligible patients with STEMI, especially if the procedure can be performed within 90 minutes of the patient's arrival at a cardiac center capable of providing this intervention.
Furthermore, primary PCI has advantages such as lower rates of bleeding complications and improved long-term outcomes, including a lower need for repeat revascularization procedures.