+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Efficacy of delayed percutaneous transluminal coronary angioplasty after intravenous use of streptokinase in myocardial infarction



Efficacy of delayed percutaneous transluminal coronary angioplasty after intravenous use of streptokinase in myocardial infarction



Cmaj 139(5): 405-408



Between June 1984 and December 1986, 35 patients with acute myocardial infarction received streptokinase intravenously within 3 hours after the beginning of chest pain and underwent percutaneous transluminal coronary angioplasty (PTCA) either immediately (in 2 cases) or 1 to 19 (mean 4.4) days later (in 33). The rate of successful PTCA was 89%. Reocclusion occurred in one patient. The mean percentage of stenosis decreased from 86% to 11%. The mean trans-stenotic gradient was reduced from 41 to 11 mm Hg. The results suggest that in patients whose condition is stable, PTCA performed a few days after thrombolysis is a valuable alternative to more aggressive treatment with immediate PTCA.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 005335502

Download citation: RISBibTeXText

PMID: 2970290


Related references

Intravenous streptokinase and percutaneous transluminal coronary angioplasty in acute myocardial infarction. Canadian Journal of Cardiology 3 Suppl A: 30a-33a, 1987

Value of percutaneous transluminal coronary angioplasty after unsuccessful intravenous streptokinase therapy in acute myocardial infarction. American Journal of Cardiology 58(9): 686-691, 1986

Improvement in left ventricle function following percutaneous transluminal coronary angioplasty performed several months post transmural myocardial infarction treated with intravenous streptokinase. American Heart Association Monograph: Ii-23, 1986

Favorable long-term results of primary percutaneous transluminal coronary angioplasty in acute myocardial infarction compared to intravenous streptokinase treatment; a randomized study. Nederlands Tijdschrift Voor Geneeskunde 139(49): 2564-2567, 1995

Acute myocardial infarction. Streptokinase and percutaneous transluminal coronary angioplasty. Alabama Journal of Medical Sciences 23(2): 173-178, 1986

Percutaneous transluminal coronary angioplasty after intracoronary streptokinase in evolving acute myocardial infarction. American Journal of Cardiology 55(1): 48-53, 1985

Percutaneous transluminal coronary angioplasty alone or in combination with streptokinase therapy during acute myocardial infarction. Mayo Clinic Proceedings 60(7): 449-456, 1985

Outcome in patients admitted with extensive myocardial infarction to a hospital without angioplasty facilities transferred to a percutaneous transluminal coronary angioplasty centre for emergency percutaneous transluminal coronary angioplasty. European Heart Journal 17(ABSTR Suppl. ): 515, 1996

Sequential intravenous thrombolysis and coronary angioplasty vs. direct percutaneous transluminal coronary angioplasty therapy for acute myocardial infarction. Journal of the American College of Cardiology 7(2 Suppl. A): 18A, 1986

Delayed percutaneous transluminal coronary angioplasty after acute myocardial infarction. International Journal Of Cardiology. 63(3): 204,. 28, 1998

Assessment of myocardial reperfusion by intravenous myocardial contrast echocardiography and coronary flow reserve after primary percutaneous transluminal coronary angioplasty [correction of angiography] in patients with acute myocardial infarction. Circulation 101(20): 2368-2374, 2000

Rescue percutaneous transluminal coronary angioplasty after failed thrombolysis or primary percutaneous transluminal coronary angioplasty in acute myocardial infarction. European Heart Journal 15(ABSTR Suppl. ): 527, 1994

Effect of delayed percutaneous transluminal coronary angioplasty of occluded coronary arteries after acute myocardial infarction. American Journal Of Cardiology. 77(11): 915-921, 1996

Percutaneous translumina coronary angioplasty with and without intravenous streptokinase as treatment for acute myocardial infarction. Clinical Research 37(2): 255A, 1989

Acute coronary artery occlusion during percutaneous transluminal coronary angioplasty: reopening by intracoronary streptokinase before emergency coronary artery surgery to prevent myocardial infarction. Circulation 66(6): 1325-1331, 1982