Comparison of emergency percutaneous coronary intervention and intravenous thrombolysis combined with emergency percutaneous coronary intervent for acute myocardial infarction
- VernacularTitle:急性心肌梗死优化介入治疗的临床研究
- Author:
Xiangguang YUAN
;
Yun YANG
;
Zhiming WANG
;
Yulan CHEN
- Publication Type:Journal Article
- Keywords:
Angioplasty,transluminal,percutaneous coronary;
Mycardial infarction;
Thrombolysis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2005;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of intravenous thrombolysiswith urokinase combined with emergency interventional therapy acute myocardial infarction(AMI).Methods 128 patients with AMI were randomized to thrombolysis plus PCI group and primary PCI group,the patency rate of infarct related artery(IRA) before intervention,the procedural success rate,the incidence of bleeding complications and acute ischemic events during hospitalization and the left ventricular ejection function(LVEF) measured by echocardiography before discharge were compared.Results The IRA patency rate in the thombolysis plus PCI group(65.7%) was significantly higher than that in the primary PCI group(24.3%)(P