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Titolo:
Importance of Acute-PTCA in the therapy of perioperative myocardial infarction
Autore:
Meierhenrich, R; Gauss, A; Geldner, G; Radermacher, P; Tebbe, U;
Indirizzi:
Univ Ulm Klinikum, Univ Klin Anasthesiol, D-89075 Ulm, Germany Univ Ulm Klinikum Ulm Germany D-89075 Anasthesiol, D-89075 Ulm, Germany Klinikum Lippe Detmold, Med Klin 2, Detmold, Germany Klinikum Lippe Detmold Detmold Germany ld, Med Klin 2, Detmold, Germany
Titolo Testata:
ANAESTHESIST
fascicolo: 2, volume: 49, anno: 2000,
pagine: 140 - 148
SICI:
0003-2417(200002)49:2<140:IOAITT>2.0.ZU;2-I
Fonte:
ISI
Lingua:
GER
Soggetto:
LONG-TERM SURVIVAL; CORONARY ANGIOPLASTY; CARDIOGENIC-SHOCK; THROMBOLYTIC THERAPY; NONCARDIAC SURGERY; PLASMINOGEN-ACTIVATOR; CARDIAC MORBIDITY; VASCULAR-SURGERY; ISCHEMIA; STREPTOKINASE;
Keywords:
perioperative myocardial infarction; acute-PTCA; thrombolytic therapy; cardiogenic shock;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
75
Recensione:
Indirizzi per estratti:
Indirizzo: Meierhenrich, R Univ Ulm Klinikum, Univ Klin Anasthesiol, Steinhovelstr 9,D-89075 Ulm, Germany Univ Ulm Klinikum Steinhovelstr 9 Ulm Germany D-89075 any
Citazione:
R. Meierhenrich et al., "Importance of Acute-PTCA in the therapy of perioperative myocardial infarction", ANAESTHESIS, 49(2), 2000, pp. 140-148

Abstract

The mortality of perioperative myocardial infarction is still high and according to recently published data amounts to 17 to 42%. In the seventies introduction of thrombolytic therapy has led to a dramatic reduction in mortality of non-perioperative myocardial infarction. However, in the perioperative situation thrombolytic therapy remains to be problematic in most cases because of expected severe bleeding complications. In the last 4-6 years acute-PTCA has been established in the therapy of acute myocardial infarction. Up to date no data are available concerning the effect of acute-PTCA on mortality of perioperative myocardial infarction. Nevertheless it can be assumed, that acute-PTCA will lead to a considerable reduction in mortality ofperioperative myocardial infarction. Therefore, in patients with significant perioperative myocardial infarction immediate coronary angiography and, if indicated, acute-PTCA should be performed. In principle, thrombolytic therapy is considered to be contraindicated in the intra- or postoperative situation. However, if coronary angiography and PTCA are not possible, thrombolysis might be taken into consideration, in particular if the expected bleeding complications are small in relation to the expected benefit of thrombolysis. Since acute-PTCA has been shown to remarkably reduce mortality in patients with cardiogenic shock after acute myocardial infarction,this groupof patients should be especially considered.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 10:22:20