Document Detail


The evolving role of rescue therapy for acute myocardial infarction.
MedLine Citation:
PMID:  19804147     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Coronary reperfusion for acute ST-elevation myocardial infarction can be accomplished with fibrinolytic therapy or with percutaneous coronary intervention (PCI). Primary PCI provides more effective and sustained early reperfusion than fibrinolytic therapy, but is only available in a minority of hospitals worldwide. There is a lack of a definite method for identification of patients who have inadequate reperfusion after fibrinolysis. Transfer of patients after fibrinolysis for diagnostic angiography and possible rescue therapy is safe and feasible. Rescue PCI with the use of stents and antiplatelet therapy decreases cardiovascular mortality and morbidity compared with conservative therapy. Increasing use of primary PCI and forming networks to transfer patients to centers that offer primary PCI may decrease the need for rescue therapy in the future.
Authors:
George M Tadros; Elias A Iliadis; Robert F Wilson; Timothy D Henry
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Future cardiology     Volume:  1     ISSN:  1744-8298     ISO Abbreviation:  Future Cardiol     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2009-10-06     Completed Date:  2009-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101239345     Medline TA:  Future Cardiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  473-8     Citation Subset:  -    
Affiliation:
University of Minnesota, Division of Cardiology,420 Delaware Street East, MMC 508Minneapolis, MN 55455, USA. tadr0003@umn.edu
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