During the period from 1991 to 1993 I was working in the Netherlands where I underwent research training (Erasmus University Rotterdam) and interventional cardiology training (Thoraxcenter Zwolle). That was the fascinating period when thrombolytic treatment of acute myocardial infarction became the standard of care and the first small randomised trials demonstrated that primary percutaneous coronary intervention (p-PCI) is superior to thrombolysis in the treatment of patients presenting with acute ST-segment elevation myocardial infarction (STEMI).