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Titolo:
Interventional procedures in acute myocardial infarction
Autore:
DeGeare, VS; Dangas, G; Stone, GW; Grines, CL;
Indirizzi:
Brooke Army Med Ctr, MDC, MCHE, Dept Cardiol, Ft Sam Houston, TX 78234 USABrooke Army Med Ctr Ft Sam Houston TX USA 78234 Sam Houston, TX 78234 USA Lenox Hill Hosp, Cardiol Res Fdn, New York, NY 10021 USA Lenox Hill Hosp New York NY USA 10021 iol Res Fdn, New York, NY 10021 USA William Beaumont Hosp, Div Cardiol, Royal Oak, MI 48072 USA William Beaumont Hosp Royal Oak MI USA 48072 iol, Royal Oak, MI 48072 USA
Titolo Testata:
AMERICAN HEART JOURNAL
fascicolo: 1, volume: 141, anno: 2001,
pagine: 15 - 24
SICI:
0002-8703(200101)141:1<15:IPIAMI>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSLUMINAL CORONARY ANGIOPLASTY; PRACTICE GUIDELINES COMMITTEE; ASSOCIATION TASK-FORCE; HIGH-RISK PATIENTS; THROMBOLYTIC THERAPY; CARDIOGENIC-SHOCK; ULTRASOUND THROMBOLYSIS; IMMEDIATE ANGIOPLASTY; PLASMINOGEN-ACTIVATOR; RANDOMIZED EVALUATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
83
Recensione:
Indirizzi per estratti:
Indirizzo: DeGeare, VS Brooke Army Med Ctr, MDC, MCHE, Dept Cardiol, 3851 Roger Brooke Dr, Ft SamHouston, TX 78234 USA Brooke Army Med Ctr 3851 Roger Brooke Dr Ft Sam Houston TX USA 78234
Citazione:
V.S. DeGeare et al., "Interventional procedures in acute myocardial infarction", AM HEART J, 141(1), 2001, pp. 15-24

Abstract

Background Acute myocardial infarction (MI) remains a leading cause of death in the United States. There is evidence that primary (direct) percutaneous intervention (PCI) may improve survival and reduce morbidity in patientswith acute MI. Methods We present a concise, comprehensive, evidence-based literature review of modern techniques of primary PCI in patients with acute MI. A comparison to thrombolytic therapy, especially in selected patient subgroups is made. Rescue angioplasty is also addressed. Adjunctive pharmacology, economic implications, and feasibility of implementation are discussed. A brief discussion of experimental therapies is included. Results Primary PCI is an acceptable alternative to thrombolytic therapy in patients with acute MI and may result in superior outcomes in select patient populations, especially the elderly, patients with prior coronary artery bypass surgery, those with congestive heart failure, and those in cardiogenic shock. Conclusions Clinical trials support the use of primary PCI as first-line therapy for acute myocardial infarction. Patients in whom thrombolytic therapy is contraindicated or known to have reduced efficacy are also excellent candidates for this therapy. Ongoing advancements in equipment and adjunctive therapies continue to enhance delivery of this treatment as well as improve patient outcome.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 10:55:00