| Literature DB >> 2970290 |
R M Gagnon1, M Morissette, P Laramée, G Dumont, F Sestier, G Leclerc, E Goudreau.
Abstract
Between June 1984 and December 1986, 35 patients with acute myocardial infarction received streptokinase intravenously within 3 hours after the beginning of chest pain and underwent percutaneous transluminal coronary angioplasty (PTCA) either immediately (in 2 cases) or 1 to 19 (mean 4.4) days later (in 33). The rate of successful PTCA was 89%. Reocclusion occurred in one patient. The mean percentage of stenosis decreased from 86% to 11%. The mean trans-stenotic gradient was reduced from 41 to 11 mm Hg. The results suggest that in patients whose condition is stable, PTCA performed a few days after thrombolysis is a valuable alternative to more aggressive treatment with immediate PTCA.Entities:
Mesh:
Substances:
Year: 1988 PMID: 2970290 PMCID: PMC1268156
Source DB: PubMed Journal: CMAJ ISSN: 0820-3946 Impact factor: 8.262