Treatment of acute myocardial infarction by invasive cardiology techniques.
The role of coronary angioplasty as a means of reperfusion therapy in the patient who suffered an acute myocardial infarction has continued to evolve. Adjunctive angioplasty immediately after thrombolytic therapy has been discarded as a routine therapeutic approach. Rescue angioplasty after failed thrombolysis has limited applicability due to the inability to readily diagnose a failure of thrombolysis. Primary angioplasty is the appropriate reperfusion approach in those patients ineligible for thrombolysis and perhaps offers advantages over thrombolysis in the elderly patients, in the patients with a large anterior infarction, and in patients in cardiogenic shock secondary to the acute infarction.
Morris
D C
DC
Department of Medicine, Emory University of Medicine, Atlanta, GA, USA.
D015906:Angioplasty, Balloon, Coronary; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D016032:Randomized Controlled Trials as Topic; D013300:Streptokinase / Q000627:therapeutic use; D015996:Survival Rate; D015912:Thrombolytic Therapy
D005343:Fibrinolytic Agents; D013300:Streptokinase