This patient would also have been a candidate for pre-hospital thrombolysis in the event of a delay in transport for PCI. He was conscious, coherent and would have understood the therapy. He would have consented, was under 75 years of age, had symptoms for less than 6 hours and had ST elevation >1mm in 2 or more contiguous leads. He had no contraindications to thrombolysis. This would have reduced his time to receive thrombolysis therapy by 1½ hours.