Document Detail

Sequential intervention procedures after intracoronary thrombolysis; balloon dilatation, bypass surgery, and medical treatment.
MedLine Citation:
PMID:  2858454     Owner:  NLM     Status:  MEDLINE    
After successful intracoronary thrombolysis of an acute myocardial infarction in 145 patients subsequent intervention procedures were evaluated. In 48 of 62 patients (43%), percutaneous transluminal coronary angioplasty was performed successfully (success rate 77%), 41 patients (28%) were operated on and 56 patients (39%) were treated only medically. During the hospital phase in the angioplasty group, 4 reinfarctions were noted and 3 repeat angioplasties were required, while 41 of the 48 successfully treated patients (85.4%) remained clinically stable. In the surgical group, one cardiac failure occurred, while 40 patients (97.6%) were without cardiac event. In the medical group, 5 patients died (8.9%), 8 patients (14.3%) had a reinfarction, and 76.8% were clinically stable. During the follow-up period in the surgical group of 6 months 37 patients (90.2%) were clinically stable, all in functional classes I and II. In the angioplasty group 33 patients were stable (68.8%), and in the medical group 26 patients were stable (46.6%). In the whole group of 145 patients the hospital mortality together with that in the 6 months follow-up period was 9.7% with a reinfarction rate of 22.8%.
J Meyer; W Merx; R Dörr; R Erbel; R von Essen; H Lambertz; C Bethge; H J Schmitz; P Bardos; C Minale
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  International journal of cardiology     Volume:  7     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  1985 Mar 
Date Detail:
Created Date:  1985-05-02     Completed Date:  1985-05-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  281-93     Citation Subset:  IM    
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MeSH Terms
Adrenergic beta-Antagonists / therapeutic use
Angioplasty, Balloon*
Anti-Arrhythmia Agents / therapeutic use
Combined Modality Therapy
Coronary Artery Bypass*
Coronary Circulation / drug effects
Coronary Disease / drug therapy*
Digitalis Glycosides / therapeutic use
Diuretics / therapeutic use
Follow-Up Studies
Middle Aged
Myocardial Infarction / drug therapy*
Nifedipine / therapeutic use
Nitroglycerin / therapeutic use
Streptokinase / therapeutic use*
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Anti-Arrhythmia Agents; 0/Digitalis Glycosides; 0/Diuretics; 21829-25-4/Nifedipine; 55-63-0/Nitroglycerin; EC 3.4.-/Streptokinase

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

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