Document Detail

Timing of angiography after fibrinolysis for ST-elevation acute myocardial infarction.
MedLine Citation:
PMID:  20308887     Owner:  NLM     Status:  In-Process    
PURPOSE OF REVIEW: Despite its limited efficacy in opening occluded coronary arteries in ST-elevation myocardial infarction, fibrinolysis remains the major reperfusion strategy used worldwide. Apart from bleeding, early reocclusion of the culprit artery is a common complication of the therapy and usually leads to a worse prognosis.
RECENT FINDINGS: During the last 7 years routine percutaneous coronary intervention after fibrinolysis has been shown to improve early and long-term outcome in six large randomized trials.
SUMMARY: The optimal time window to perform percutaneous coronary intervention is between 3 and 24 h after fibrinolysis.
Freek W A Verheugt
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  25     ISSN:  1531-7080     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  302-4     Citation Subset:  IM    
Department of Cardiology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
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