title: [The place of pharmacoinvasive management in patients with ST-elevation acute coronary syndrome in Russia].
abstract: The present article reviews the issues of medical healthcare provision for acute coronary syndrome (ACS) in the Russian Federation from the perspective of benefits of pharmacoinvasive management for these patients. A brief analysis of clinical trials, promoting and defining pharmacoinvasive management as a preferred therapy that should be implemented in the Federal Health Care Program for ACS, is presented. The data of the STREAM study reported similar results in comparison with primary percutaneous coronary intervention (PCI) in immediate and long-term prognosis in patients with ST-elevation ACS after the initiation of thrombolytic therapy (TLT) with tenecteplase in the early pre-hospital period (< 3 hours from the onset of myocardial infarction).
authors.forename: O L
authors.initials: OL
authors.lastname: Barbarash
authors.forename: V V
authors.initials: VV
authors.lastname: Kashtalap
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000628:therapy; D002986:Clinical Trials as Topic; D057186:Comparative Effectiveness Research; D019468:Disease Management; D004562:Electrocardiography; D005343:Fibrinolytic Agents / Q000494:pharmacology; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods / Q000706:statistics & numerical data; D011379:Prognosis; D000077785:Tenecteplase; D015912:Thrombolytic Therapy / Q000379:methods / Q000706:statistics & numerical data; D010959:Tissue Plasminogen Activator / Q000494:pharmacology*
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator; D000077785:Tenecteplase