| Autor: |
B L, van Brussel, D, Hendriks, L, Relik-van Wely, M I, el Gamal, J M, Ernst, H W, Plokker |
| Jazyk: |
Dutch; Flemish |
| Rok vydání: |
1989 |
| Předmět: |
|
| Zdroj: |
Nederlands tijdschrift voor geneeskunde. 133(7) |
| ISSN: |
0028-2162 |
| Popis: |
In 285 patients intracoronary fibrinolytic agents were administered 300 times during the acute phase of a myocardial infarction. The results and the complications of this therapy, as administered in a community hospital, did not differ from those obtained in a big randomized study performed by the Interuniversity Cardiological Institute of The Netherlands. Recanalization of a completely occluded coronary artery was obtained in 79% of the cases. Only 8.3% of the patients needed blood transfusion because of blood loss via the puncture in the femoral artery. No intracranial bleeding occurred. Actuarial total survival after 12 months was 90.5%. The incidence of recurrent myocardial infarction after successful intracoronary fibrinolytic therapy appears rather high; therefore, in some patient categories further therapy may be considered such as percutaneous transluminal coronary angioplasty or aortocoronary bypass surgery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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