Can we replace the 90-minute thrombolysis in myocardial infarction (TIMI) flow grades with those at 60 minutes as a primary end point in thrombolytic trials?

被引:6
作者
Gibson, CM
Murphy, SA
Marble, SJ
McCabe, CH
Antman, EM
Cannon, CP
Braunwald, E
机构
[1] Univ Calif San Francisco, Dept Med, Div Cardiovasc, San Francisco, CA 94118 USA
[2] Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA
关键词
D O I
10.1016/S0002-9149(00)01402-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The establishment of patency (Thrombolysis In Myocardial Infarction [TIMI] grade 2 or 3 flow) and/or TIMI grade 3 flow at 60 minutes after thrombolytic administration is both a univariate and multivariate predictor of in-hospital and 30-day mortality, and the odds ratios for mortality are nearly identical for TIMI grade 3 flow at 60 and 90 minutes, Thus, the 60-minute angiographic end point appears to be a valid alternative to that at 90 minutes and may permit earlier decisions regarding post-thrombolytic intervention.
引用
收藏
页码:450 / +
页数:5
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