reperfusion-eligible acute myocardial infarction
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Introduction
A condition characterized by a clinical presentation compatible with acute myocardial infarction accompanied by ST-segment elevation or new left bundle branch block on ECG.
Management
- Reperfusion methods include:
- thrombolysis
- percutaneous transluminal coronary angioplasty (PTCA)
In a small study[1], patients > 75 years of age were found to benefit from PTCA significantly more than thrombolysis A combined endpoint of death, stroke or reinfarction occurred less frequently with PTCA (9%) vs thrombolysis (29%).
More general terms
Additional terms
References
- ↑ 1.0 1.1 Journal Watch 22(16):124-25, 2002
de Boer MJ et al Reperfusion therapy in elderly patients with acute myocardial infarction: a randomized comparison of primary angioplasty and thrombolytic therapy. J Am Coll Cardiol 39:1723, 2002 PMID: https://www.ncbi.nlm.nih.gov/pubmed/12039482
Thiemann DR Primary angioplasty for elderly patients with myocardial infarction: theory, practice and possibilities. J Am Coll Cardiol 39:1729, 2002 PMID: https://www.ncbi.nlm.nih.gov/pubmed/12039483