[Pharmacologic reperfusion in acute myocardial infarction]

Reperfusion therapy is fundamental in the treatment of the acute myocardial infarct and can be accomplished either through pharmacological methods or through direct angioplasty. Undoubtedly, pharmacological reperfusion is the most available and it has modified the natural history of the acute myocardial infarct. Reperfusion therapy must be as dynamic and multifactorial as the physiopathology per se of the acute myocardial infarct. Reperfusion is defined as: to reestablish blood flow after an obstruction has been caused and to be useful it must be close to normal both in the epicardial and transmyocardial vessels.