Peter Attia· MD
and the other indication in the non-mi setting is is symptomatic right if you have a person who is who for example on a stress if someone if someone has a stress test and on the on the stress test you see St changes does that is that an indication for a PCI as well so we'll back up so stemies station Mi where there's a complete in the physiology or pathophysiology is a complete obstruction of blood flow St segments go up you go in there's no blood beyond the blockage that's clear everyone understands what we're now calling ACS which we used to call unstable an in our nonest elevation Mi which is not is same pathophysiology right ruptured plaque a a thrus sitting on the plaque but it doesn't completely obstruct blood flow I think there's General consensus even among some of the more conservative groups out there that those people benefit from going to the cath lab early and having a extent to uh to fix that blockage I would say it's generally accepted on the order if I had to guess of 85 or 90% of people would practice that way and what I mean early I mean within the first 24 hours