[Reocclusion following successful thrombolytic therapy in acute myocardial infarct].
Following successful reperfusion of the previously occluded coronary artery in acute myocardial infarction, reocclusion remains an at least partially unsolved problem. The literature reports figures between 10 and 30%. In the present study, 130 out of 543 patients with successful thrombolysis by means of intracoronary streptokinase underwent a follow-up angiography at the 3rd day (106/130, 80%) and/or 6 months (76/130, 59%) after the acute intervention. During the observation period, neither PTCA nor bypass surgery were performed. Reocclusion could be documented in 5.5% of patients at the early stage, and in 25.0% half a year later. In more than 75% of patients, who presented with a reoccluded infarct related artery, clinical evidence of reinfarction had been recorded during the follow-up period.
Uebis
R
R
Abteilung Innere Medizin I der Medizinischen Fakultät der RWTH Aachen.
Dörr
R
R
Reynen
K
K
Effert
S
S
D003326:Coronary Circulation / Q000187:drug effects; D004359:Drug Therapy, Combination; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D012008:Recurrence; D013300:Streptokinase / Q000627:therapeutic use*
D006493:Heparin; D013300:Streptokinase
Reokklusion nach erfolgreicher thrombolytischer Therapie beim akuten Myokardinfarkt.