Effectiveness and Safety of Percutaneous Coronary Intervention After Fibrinolytic Therapy for ST-Segment Elevation Acute Myocardial Infarction

被引:7
作者
Baron, Suzanne J. [2 ]
Giugliano, Robert P. [1 ]
机构
[1] Brigham & Womens Hosp, Div Cardiovasc, TIMI Study Grp, Boston, MA 02115 USA
[2] Massachusetts Gen Hosp, Dept Cardiol, Boston, MA 02114 USA
关键词
TISSUE-PLASMINOGEN-ACTIVATOR; IMMEDIATE ANGIOPLASTY; RANDOMIZED TRIAL; THROMBOLYSIS; MANAGEMENT; ABCIXIMAB; UPDATE;
D O I
10.1016/j.amjcard.2010.11.024
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
The goal of treatment of an acute ST-segment elevation myocardial infarction is the timely restoration of myocardial blood flow to decrease myocardial necrosis and thereby preserve cardiac tissue and overall function. Mainstays of reperfusion treatment include fibrinolytic therapy and/or primary percutaneous coronary intervention. In those patients who are treated with fibrinolysis, there is debate as to whether and when they should also undergo subsequent percutaneous coronary intervention. In conclusion, the investigators review the published reports on systematic percutaneous coronary intervention after fibrinolytic therapy in the treatment of ST-segment elevation myocardial infarction and discuss the rationale behind this treatment strategy. (C) 2011 Elsevier Inc. All rights reserved. (Am J Cardiol 2011;107:1001-1009)
引用
收藏
页码:1001 / 1009
页数:9
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