منابع مشابه
Transferring patients for primary infarct angioplasty.
Although primary angioplasty (PTCA) achieves reper-fusion in acute myocardial infarction (AMI) more readily than thrombolysis without the risk of intracranial haemorrhage , economic and logistic issues limit its applicability. 1 Most patients with AMI present to hospitals without cardiac catheterisation facilities, let alone PTCA expertise. The safety and feasibility of the emergency transfer o...
متن کاملInfarct angioplasty: beyond stents and glycoprotein IIb/IIIa inhibitors.
T he primary goal of treatment in acute myocardial infarction is to salvage jeopardised myocardium, preserve ventricular function, and improve long term survival. Since de Wood’s landmark observations ushered in the modern reperfusion era, the main focus of treatment in this field has been on methods to restore blood flow to the ischaemic myocardium. With contemporary angioplasty techniques, no...
متن کاملPrimary angioplasty versus thrombolysis for acute ST-elevation myocardial infarction: an economic analysis of the National Infarct Angioplasty project.
OBJECTIVE To estimate the cost-effectiveness of primary angioplasty compared with thrombolysis for acute ST elevation myocardial infarction. Design Cost analysis of UK observational database, incorporated into decision analytical model. METHODS Patients receiving treatment within a comprehensive angioplasty service were compared with control patients receiving thrombolysis-based care. The tre...
متن کاملDetection of acutely impaired microvascular reperfusion after infarct angioplasty with magnetic resonance imaging.
BACKGROUND Despite the reopening of the infarct-related artery (IRA) with infarct angioplasty, complete microvascular reperfusion does not always ensue. METHODS AND RESULTS We performed cardiovascular MRI (CMR) in 20 acute myocardial infarction (AMI) patients within 24 hours of successful infarct angioplasty and 10 control patients without obstructive coronary artery disease on a clinical 1.5...
متن کاملInfarct artery reocclusion after primary angioplasty, stent placement, and thrombolytic therapy for acute myocardial infarction.
BACKGROUND The benefits of thrombolytic therapy for acute myocardial infarction (AMI) are limited by reocclusion of the infarct-related artery, which occurs in 25% to 30% of patients after successful reperfusion. The frequency of reocclusion after balloon angioplasty and stenting in this setting is less well documented. The aim of this study was to analyze the frequency and timing of reocclusio...
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ژورنال
عنوان ژورنال: Heart
سال: 1999
ISSN: 1355-6037
DOI: 10.1136/hrt.82.4.399