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Titolo:
Prevalence of early left ventricular thrombus after primary coronary intervention for acute myocardial infarction
Autore:
Kalra, A; Jang, IK;
Indirizzi:
Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA Massachusetts Gen Hosp Boston MA USA 02114 Cardiol, Boston, MA 02114 USA Harvard Univ, Sch Med, Boston, MA USA Harvard Univ Boston MA USAHarvard Univ, Sch Med, Boston, MA USA
Titolo Testata:
JOURNAL OF THROMBOSIS AND THROMBOLYSIS
fascicolo: 2, volume: 10, anno: 2000,
pagine: 133 - 136
SICI:
0929-5305(200010)10:2<133:POELVT>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
TWO-DIMENSIONAL ECHOCARDIOGRAPHY; THROMBOLYTIC THERAPY; MURAL THROMBI; INTRACORONARY STREPTOKINASE; INTRAVENOUS STREPTOKINASE; PLASMINOGEN-ACTIVATOR; IMMEDIATE ANGIOPLASTY; NATURAL-HISTORY; ANTICOAGULATION; FREQUENCY;
Keywords:
left ventricular thrombus; acute myocardial infarction; primary percutaneous coronary intervention; stenting;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Jang, IK Massachusetts Gen Hosp, Div Cardiol, Bulfinch 105,55 Fruit St, Boston, MA 02114 USA Massachusetts Gen Hosp Bulfinch 105,55 Fruit St Boston MA USA 02114
Citazione:
A. Kalra e I.K. Jang, "Prevalence of early left ventricular thrombus after primary coronary intervention for acute myocardial infarction", J THROMB TH, 10(2), 2000, pp. 133-136

Abstract

The prevalence of left ventricular (LV) thrombus after acute myocardial infarction (AMI) has been reported high at 20-60%. Current reperfusion therapies such as thrombolysis have shown a trend toward reducing the incidence of LV thrombosis. However, the prevalence of LV thrombus after primary percutaneous coronary intervention (PCI) for AMI has not been systematically studied. At Massachusetts General Hospital 71 consecutive patients who underwent primary PCI for acute ST elevation MI were reviewed for the prevalence of LV thrombus evaluated by echocardiography. Echocardiography was performedwithin 5 days of infarction. PCI was successful in all patients. The time delay from symptom onset to intervention was 191 minutes. Thrombolysis in Myocardiol Infarction (TIMI) grade 3 flow was achieved in more than 80% of cases. Only 3 patients (4%) had echocardiographic evidence of LV thrombus. All 3 patients had anterior infarctions. The incidence among patients with anterior MI was 10% (3 of 30 patients). The prevalence of LV thrombus in patients treated with primary PCI for AMI is low (4%).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 23:55:25