| Bedside cardiology and thrombolysis. | |
| | |
MedLine Citation:
|
PMID: 8227786 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The study by Christian et al. (37) provides useful clinical information for the management of the patient with myocardial infarction with thrombolytic therapy. 1) Complete resolution of chest pain during the infusion of an intravenous thrombolytic agent suggests reperfusion and myocardial salvage. Initial conservative medical management should be considered in these patients especially if serial ECGs show a progressive and rapid downward defection of the ST segment. 2) Patients presenting within 6 h after the onset of infarction, who are pain free, may still benefit from thrombolysis if their ECGs show persistent ischemia. 3) In the remaining patients in whom chest pain does not resolve completely during thrombolytic therapy, management, whether continued medical or invasive strategy, should be individualized and dictated by the extent of myocardium at risk (i.e., by the number of ECG leads showing ST segment elevation), the response of the ST segment to thrombolysis and, most important, the clinical status of the patient. |
| | |
Authors:
|
H G Olson |
Related Documents
:
|
8214776 - Surface electrocardiogram in the detection of myocardial ischemia during percutaneous c... 6334436 - Transient st-segment depression as a marker of myocardial ischemia during daily life. 9491946 - Clinical and detailed angiographic findings in patients with ambulatory electrocardiogr... 2412426 - The safety of static-dynamic effort soon after myocardial infarction. 2091226 - Evaluation of free radical injury in myocardium. 17276306 - Prognostic value of spect myocardial perfusion imaging in patients with elevated cardia... |
Publication Detail:
|
Type: Comment; Editorial |
Journal Detail:
|
Title: Journal of the American College of Cardiology Volume: 22 ISSN: 0735-1097 ISO Abbreviation: J. Am. Coll. Cardiol. Publication Date: 1993 Nov |
Date Detail:
|
Created Date: 1993-12-03 Completed Date: 1993-12-03 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 8301365 Medline TA: J Am Coll Cardiol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1317-9 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angina Pectoris
/
etiology* Humans Myocardial Infarction / drug therapy*, mortality*, radionuclide imaging Thrombolytic Therapy* Treatment Outcome |
| Comments/Corrections | |
Comment On:
|
J Am Coll Cardiol. 1993 Nov 1;22(5):1311-6
[PMID:
8227785
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Severity and response of chest pain during thrombolytic therapy for acute myocardial infarction: a u...
Next Document: Effects of low dose transdermal scopolamine on heart rate variability in acute myocardial infarction...