The role of thrombolytic therapy for acute myocardial infarction.
Coron Artery Dis
; 5(5): 373-9, 1994 May.
Article
en En
| MEDLINE
| ID: mdl-7921367
ABSTRACT
Thrombolytic therapy is widely available and easily administered and can restore IRA flow. IRA patency restored by thrombolysis salvages ventricular function and reduces mortality rates, albeit with an increased risk of hemorrhagic stroke. The risk of coronary reocclusion after t-PA administration can be reduced with concomitant use of intravenous heparin given in therapeutic doses. It appears that, in terms of mortality reduction and myocardial salvage, the greatest benefit is achieved when early IRA perfusion is normal (TIMI grade 3). Unfortunately, only 50% of patients treated with the most aggressive regimens will achieve normal flow when assessed 90 min after initiating thrombolysis. New strategies using currently available agents given in different dosing regimens, combinations of strategies, and new antithrombotic agents hold the promise of increasing early patency and further reducing both mortality and ventricular dysfunction.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Terapia Trombolítica
/
Fibrinolíticos
/
Infarto del Miocardio
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Coron Artery Dis
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
1994
Tipo del documento:
Article