Early administration of thrombolysis can prevent myocardial necrosis: time is myocardium.
Emerg Med J
; 26(7): 541-2, 2009 Jul.
Article
em En
| MEDLINE
| ID: mdl-19546284
ABSTRACT
A case is presented in which a 66-year-old man received thrombolysis for an acute ST elevation myocardial infarction (STEMI) within 6 minutes of developing chest pain. An ECG performed 10 minutes after thrombolysis showed complete resolution of the ST segment elevation and showed no other abnormality. An echocardiogram showed normal left ventricular function and there was no detectable myocardial necrosis, as evidenced by two negative troponin assays. The case clearly reinforces the benefits of the rapid delivery of thrombolysis when appropriate for patients with STEMI. Clinicians need to be aware of the benefits of early thrombolysis as laid out in the national service framework. Evidence for the early administration of thrombolysis, data from the Myocardial Infarction National Audit Project and the future with regard to improving thrombolysis times are discussed.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Ativador de Plasminogênio Tecidual
/
Fibrinolíticos
/
Infarto do Miocárdio
/
Miocárdio
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Emerg Med J
Ano de publicação:
2009
Tipo de documento:
Article