Document Detail

Primary coronary intervention in acute myocardial infarction.
MedLine Citation:
PMID:  15185919     Owner:  NLM     Status:  MEDLINE    
Percutaneous coronary intervention (PCI) with stent implantation has become the standard of care for acute myocardial infarction <12 hours from symptom onset. This has led to decreased morbidity and mortality both short and long term compared to thrombolytic therapy. Stent implantation has been demonstrated to be superior to balloon PCI for mechanical reperfusion of acute myocardial infarction. Intravenous antiplatelet glycoprotein IIb/IIIa inhibitors may have a role in improving TIMI flow prior to PCI and decreasing morbidity and mortality. The role of thrombolytics vs. IIb/IIIa inhibitors in "facilitated reperfusion" is unclear at this time and further research is needed to define the indication of adjunctive pharmacology.
Charles X Kim; Charles J Davidson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Italian heart journal : official journal of the Italian Federation of Cardiology     Volume:  5 Suppl 6     ISSN:  1129-471X     ISO Abbreviation:  Ital Heart J     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-09     Completed Date:  2004-09-30     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  76S-82S     Citation Subset:  IM    
Division of Cardiology, Department of Medicine, Northwestern University Medical School, Chicago, IL 60611, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary* / economics
Blood Vessel Prosthesis Implantation / economics
Coated Materials, Biocompatible / economics,  therapeutic use
Costs and Cost Analysis
Fibrinolytic Agents / economics,  therapeutic use
Myocardial Infarction / economics,  therapy*
Myocardial Reperfusion / economics
Platelet Glycoprotein GPIIb-IIIa Complex / economics,  therapeutic use
Stents / economics
Reg. No./Substance:
0/Coated Materials, Biocompatible; 0/Fibrinolytic Agents; 0/Platelet Glycoprotein GPIIb-IIIa Complex

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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