 Hi, this is Dr. Anand Shanai, Interventional Cardiologist, Manipal Hospitals, Bangalore. So when a person with acute heart attack reaches the emergency department, the best treatment option in a hospital which has the facilities to do intervention is called as primary angioplasty. So any cardiac facility which has the interventional cath lab available, the treatment which is offered to the patient of acute heart attack is emergency angioplasty which is ballooning of the vessel which is occluded, sometimes clot aspiration which we call thrombus aspiration and administration of clot dyszoline drugs followed generally by a stent implantation of into the vessel which has the acute blockage. So this whole process is called as primary angioplasty or primary PCI, PCI standing for Percutaneous Coronary Intervention which is offered 24 bar 7 in Manipal Hospitals for the last two decades.