Rescue angioplasty reduced cardiovascular and cerebrovascular outcomes in acute MI after failed thrombolytic therapy

May 2006
ACP Journal Club;May/Jun2006, Vol. 144 Issue 3, p60
Academic Journal
The article discusses a study which aims to determine whether rescue percutaneous coronary intervention reduce cardiovascular and cerebrovascular events in patients with acute myocardial infarction (MI) after failed thrombolytic therapy. 427 patients 21 to 85 years of age who had MI with ST-segment elevation and had received aspirin and thrombolysis within 6 hours of symptom onset, and electrocardiogram showed failed thrombolytic therapy at 90 minutes. It was found that in patients with acute MI after failed thrombolytic therapy, rescue angioplasty reduced a composite endpoint of death, recurrent MI, cerebrovascular event and severe heart failure.


Related Articles

  • Rescue percutaneous coronary intervention for failed thrombolysis: results from a district general hospital. Balachandran, K. P.; Miller, J.; Pell, A. C. H.; Valiance, B. D.; Oldroyd, K. G. // Postgraduate Medical Journal;Jun2002, Vol. 78 Issue 920, p330 

    Objective: To assess the outcome of a policy of emergency percutaneous coronary intervention (PCI) in patients with acute myocardial infarction and electrocadiographic (ECG) evidence of failed reperfusion after thrombolysis. Design: Observational study. Setting: District general hospital....

  • Direct Angioplasty for Acute Myocardial Infarction. Eckman, Mark H.; Wong, John B.; Salem, Deeb N.; Pauker, Stephen G. // Annals of Internal Medicine;10/15/92, Vol. 117 Issue 8, p667 

    Presents a study which reexamined the usefulness of angioplasty done early in the course of an acute myocardial infarction without preceding thrombolytic therapy. Data sources; Data extraction; Results and data synthesis.

  • Coronary angioplasty vs. thrombolytic therapy. Huffman, Grace Brooke // American Family Physician;4/15/1998, Vol. 57 Issue 8, p1942 

    Presents the summary `Comparison of primary coronary angioplasty and intravenous thrombolytic therapy for acute myocardial infarction: A quantitative review,' by W.D. Weaver, et al which can be found in the JAMA dated December 1997.

  • Acute MI: Outcomes are better in the first 30 days with primary angioplasty. Weaver, W. Douglas // Modern Medicine;Feb98, Vol. 66 Issue 2, p29 

    Discusses the abstract `Comparison of Primary Coronary Angioplasty and Intravenous Thrombolytic Therapy for Acute Myocardial Infarction,' by W.D. Weaver, R.J. Simes, A. Betriu et al., which appeared in the December 17, 1997 issue of `Journal of American Medical Association.'

  • A COMPARATIVE ANALYSIS OF IN-HOSPITAL LEFT VENTRICULAR FUNCTION IN PATIENTS WITH SUCCESSFUL OR UNSUCCESSFUL STREPTOKINASE THROMBOLYSIS FOLLOWING ACUTE MYOCARDIAL INFARCTION. Khan, Sher Bahadar; Rafiullah; Rehman, Hafiz ur; Nawaz, Tariq; Shah, Syed Tahir; Shah, Syed Sadiq; Hameedullah; Hadi, Abdul; Hafizullah, Muhammad; Gul, Adnan Mahmood; Jan, Hikmatullah; Shah, Syed Farhat Abbas // JPMI: Journal of Postgraduate Medical Institute;2012, Vol. 26 Issue 2, p134 

    Objective: To compare in-hospital left ventricular function in patients with unsuccessful and successful thrombolysis presenting with acute myocardial infarction treated with streptokinase. Methodology: This comparative study was conducted at department of Cardiology, Lady Reading Hospital...

  • Primary percutaneous coronary intervention. Garratt, Sarah-Louise // Nursing Standard;6/6/2007, Vol. 21 Issue 39, p59 

    The article relates the author's experience as a trainee paramedic on a two-year foundation degree in paramedic science in Stafford, England. The author was able to expand her knowledge of the pathophysiology of acute myocardial infarction (AMI), electrocardiograms (ECGs), and thrombolytic...

  • Indecision is the enemy.  // Patient Care;9/15/1997, Vol. 31 Issue 14, p86 

    Offers views on the use of percutaneous transluminal coronary angioplasty (PTCA) or thrombolysis in the treatment of acute myocardial infarction (MI). Findings of studies conducted on the issue; Guidelines for the management of acute MI; Objectives of studies conducted. INSETS:...

  • Cohort study: Thrombolytics are equally effective, less costly than angioplasty in a community setting.  // Formulary;Apr97, Vol. 32 Issue 4, p376 

    Presents the cohort study which determine the efficacy of thrombolytic therapy to be less costly than and equally effective as primary angioplasty in preventing death in AMI patients. Methodology used in the study; Rate of procedure and costs of thrombolytic therapy and angioplasty; Opinion of...

  • Primary angioplasty is better than thrombolysis for women who have acute MI.  // Modern Medicine;Oct95, Vol. 63 Issue 10, p42 

    Presents an abstract of the article `Comparison of In-Hospital Outcome in Men Versus Women Treated by Either Thrombolytic Therapy or Primary Coronary Angioplasty for Acute Myocardial Infarction,' by G.W. Stone, C.L. Grines, K.F. Browne, et al from the `American Journal of Cardiology' dated May...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics