Document Detail

Interventional therapy for acute myocardial infarction.
MedLine Citation:
PMID:  11480379     Owner:  NLM     Status:  MEDLINE    
Percutaneous transluminal coronary angioplasty has proven to be more effective and safer than thrombolytic therapy for the treatment of acute ST elevation myocardial infarction. Coronary intervention decreases early mortality and the incidence of intracerebral hemorrhage when performed by an experienced interventional team in a timely fashion. After failed fibrinolytic therapy for myocardial infarction, percutaneous transluminal coronary angioplasty is indicated for signs of ischemia and is very effective in restoring vessel patency and reducing mortality when used as a rescue procedure. The glycoprotein IIb-IIIa inhibitors improve outcomes in percutaneous transluminal coronary angioplasty, particularly in patients undergoing stent placement. Percutaneous interventional therapy in acute myocardial infarction is particularly beneficial in patients with cardiogenic shock and effective for saphenous vein graft occlusions, patients with diabetes mellitus, and in the elderly. New devices and drugs are currently being tested for acute myocardial infarction and provide hope for even better interventional therapies in the near future.
M A Siddiqui; N Tandon; L Mosley; F M Sheridan; H G Hanley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society     Volume:  153     ISSN:  0024-6921     ISO Abbreviation:  J La State Med Soc     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-08-01     Completed Date:  2001-08-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505618     Medline TA:  J La State Med Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  292-9     Citation Subset:  IM    
Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Anticoagulants / therapeutic use
Myocardial Infarction / therapy*
Thrombolytic Therapy
Reg. No./Substance:

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