Thrombolysis in acute myocardial infarction improves prognosis and prolongs life but will increase the prevalence of heart failure in the geriatric population

被引：2

作者：

Gotsman, MS ^{[1
]}

Admon, D ^{[1
]}

Zahger, D ^{[1
]}

Weiss, AT ^{[1
]}

机构：

[1] Hadassah Univ Hosp, Dept Cardiol, IL-91120 Jerusalem, Israel

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 1998年 / 65卷

关键词：

thrombolysis; myocardial infarction; geriatric;

D O I：

10.1016/S0167-5273(98)00061-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This paper will review the hypothesis that early complete thrombolytic therapy in acute myocardial infarction reduces mortality and improves prognosis. ACE inhibitors improve remodelling and anti-platelet drugs or interventional procedures prevent reocclusion of the infarct related coronary artery. Most patients are left with significant myocardial damage and this effect is cumulative with subsequent infarction. The average age of death has increased by 10 years in the last three decades, so that many older patients survive. They have survived acute myocardial infarction and we now have a significant population with important heart failure despite good thrombolytic therapy. (C) 1998 Elsevier Science Ireland Ltd.

引用

页码：S29 / S35

页数：7

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